RYAN K PHASOUK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036116544

License Status

NOT RENEWED

Business

First Name

RYAN

Middle

Last Name

PHASOUK

Suffix

Business Name

RYAN K PHASOUK MD

Original Issue Date

07/18/2006

Effective Date

04/22/2014

Expiration Date

07/31/2017

City

BAINBRIDGE ISLAND

State

Zip

98110

County

WASHINGTON STATE

Ever Disciplined

LastModifiedDate

11/01/2017