CHRISTINA MARY ENNABI WALLER Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036154689

License Status

ACTIVE

Business

First Name

CHRISTINA

Middle

MARY

Last Name

ENNABI WALLER

Business Name

CHRISTINA MARY ENNABI WALLER

Original Issue Date

11/05/2020

Effective Date

07/06/2023

Expiration Date

07/31/2026

City

PASADENA

State

Zip

91101

Ever Disciplined

LastModifiedDate

07/06/2023