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Licensing details for: A 157228

Name: LAM, JEREMY DERRICK

License Type: Physician and Surgeon A

Primary Status: License Renewed & Current Primary Status Definition

School Name: Loma Linda University School of Medicine

Graduation Year: 2017

Address of Record

2492 Walnut Ave Ste 100
TUSTIN CA 92780-6953
ORANGE county
Map

Issuance Date

July 19, 2018

Expiration Date

July 31, 2028

Current Date / Time

August 10, 2026
7:18:26 AM

Public Record Actions

Public Documents

Survey Information

The following information is self-reported by the licensee and has not been verified by the Board.

Current Training Status
Not in Training
Postgraduate Training Years
Decline to State
Primary Area of Practice
Decline to State
Secondary Area of Practice
Not Applicable
ABMS Certifications
American Board of Internal Medicine - Internal Medicine
Are you retired?
Decline to state
Practice Activities
Direct Patient Care (including telehealth) - Decline to State

Training - Decline to State
Research - Decline to State
Administration - Decline to State
Other - Decline to State
Primary Practice Location
Decline to State
Secondary Practice Location
Decline to State
Are you Hispanic, Latino/a, or of Spanish origin?
Decline to State
Race
Decline to State
Language Fluency
Decline to State
Gender Identity
Decline to State

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