BETTY PEI FEN LO MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125060026

License Status

CANCELLED

Business

Title

First Name

BETTY

Middle

PEI FEN

Last Name

Business Name

BETTY PEI FEN LO MD

Original Issue Date

06/24/2011

Effective Date

06/24/2011

Expiration Date

06/23/2014

City

RANCHO PALOS VERDES

State

Zip

90275

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

05/17/2011