License Directory

Evan Matthew Chisum

Active

California license A78813

License

Licensed by
Medical Board of California
License number
A78813
Status
Active (Current)
First issued
April 24, 2002
Expires
April 30, 2028
License holder
Evan Matthew Chisum
Entity type
Individual

Classifications

More from the license record

License type code
8002

Contact

St Helena Hosp Ed
15630 18th Ave
Clearlake, CA 95422-9336
Lake County