LUCAS ANISSIAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036107198

License Status

NOT RENEWED

Business

First Name

LUCAS

Last Name

ANISSIAN

Suffix

Business Name

LUCAS ANISSIAN MD

Original Issue Date

06/13/2002

Effective Date

08/29/2020

Expiration Date

07/31/2023

City

LAKE OSWEGO

State

Zip

97034

Ever Disciplined

LastModifiedDate

11/30/2023