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Licensing details for: PTL 11306

Name: Chen, Isaac

License Type: Postgraduate Training License

Primary Status: License Canceled Primary Status Definition

School Name: California Northstate University College of Medicine

Graduation Year: 2022

Current Enrolled Postgraduate Training Program

Facility Name: ST JOSEPH'S MEDICAL CENTER PROGRAM

City: Stockton

State: California

Speciality: Transitional Year

Start Date: 06/14/2022

Anticipated End Date: 06/30/2023

Address of Record

5222 Cosumnes Dr Apt 282
STOCKTON CA 95219-7222
SAN JOAQUIN county
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Issuance Date

January 23, 2023

Expiration Date

N/A

Current Date / Time

April 3, 2026
2:15:16 AM

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License Relationships

Postgraduate Training License associated with Physician & Surgeon License

License/Registration Role: Postgraduate Training License

Related Party Role: Physician & Surgeon

Name: Chen, Isaac

License/Registration Type: Physician's and Surgeon's

License Number: 190662 Primary Status: License Renewed & Current

Address :
4445 Magnolia Ave
RIVERSIDE CA 92501-4135
RIVERSIDE COUNTY

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