PHILIP DWAYNE LANHAM MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036173238

License Status

ACTIVE

Business

Title

First Name

PHILIP

Middle

DWAYNE

Last Name

LANHAM

Business Name

PHILIP DWAYNE LANHAM MD

Original Issue Date

01/02/2025

Effective Date

01/02/2025

Expiration Date

07/31/2026

City

NEW YORK

State

Zip

10029

Ever Disciplined

LastModifiedDate

01/02/2025