EDWARD TRACY SALL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036154627

License Status

ACTIVE

Business

Title

First Name

EDWARD

Middle

TRACY

Last Name

SALL

Business Name

EDWARD TRACY SALL MD

Original Issue Date

10/29/2020

Effective Date

07/07/2023

Expiration Date

07/31/2026

City

SAN DIEGO

State

Zip

92123

Ever Disciplined

LastModifiedDate

11/07/2023