MICHAEL THAN Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036167791

License Status

ACTIVE

Business

First Name

MICHAEL

Last Name

THAN

Business Name

MICHAEL THAN

Original Issue Date

11/28/2023

Effective Date

11/28/2023

Expiration Date

07/31/2026

City

FONTANA

State

Zip

92337

Ever Disciplined

LastModifiedDate

05/13/2024