LISSA SUGENG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036098586

License Status

NOT RENEWED

Business

First Name

LISSA

Last Name

SUGENG

Suffix

Business Name

LISSA SUGENG MD

Original Issue Date

08/05/1998

Effective Date

05/19/2008

Expiration Date

07/31/2011

City

NEW HAVEN

State

Zip

06510

Ever Disciplined

LastModifiedDate

11/14/2011