JUSTIN LANE MCCOY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036172496

License Status

ACTIVE

Business

Title

First Name

JUSTIN

Middle

LANE

Last Name

MCCOY

Business Name

JUSTIN LANE MCCOY MD

Original Issue Date

10/25/2024

Effective Date

10/25/2024

Expiration Date

07/31/2026

City

SAN DIEGO

State

Zip

92128

Ever Disciplined

LastModifiedDate

10/25/2024