DOUGLAS MINH-DUC PHAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****42

License Status

NOT RENEWED

Business

First Name

DOUGLAS

Middle

MINH-DUC

Last Name

PHAN

Suffix

Business Name

DOUGLAS MINH-DUC PHAN MD

Original Issue Date

08/15/2011

Effective Date

07/02/2014

Expiration Date

07/31/2017

City

DALY CITY

State

Zip

94014

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017