BETH STACEY FAMILANT MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036160336

License Status

ACTIVE

Business

Title

First Name

BETH

Middle

STACEY

Last Name

FAMILANT

Business Name

BETH STACEY FAMILANT MD

Original Issue Date

04/20/2022

Effective Date

07/20/2023

Expiration Date

07/31/2026

City

SAN FRANCISCO

State

Zip

94105

Ever Disciplined

LastModifiedDate

07/20/2023