Medical Board of California
Licensing details for: PTL 11306
Name: Chen, Isaac
License Type: Postgraduate Training License
Primary Status: License Canceled

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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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



