MILTON LOWELL VAN HISE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036158400

License Status

ACTIVE

Business

Title

First Name

MILTON

Middle

LOWELL

Last Name

VAN HISE

Business Name

MILTON LOWELL VAN HISE MD

Original Issue Date

09/28/2021

Effective Date

07/14/2023

Expiration Date

07/31/2026

City

LYNNWOOD

State

Zip

98036

Ever Disciplined

LastModifiedDate

07/14/2023