LUCAS ANISSIAN MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****69

NOT RENEWED

N

LUCAS

ANISSIAN

MD

LUCAS ANISSIAN MD

09/01/2020

09/01/2020

07/31/2023

PORTLAND

OR

97239

OREGON

PRACTITIONER

II III IV V

N

11/30/2023