Son David Tan Phan
ExpiredCalifornia license 61902
License
- Licensed by
- Dental Board of California
- License number
- 61902
- Status
- Expired (Delinquent)
- First issued
- September 13, 2012
- Expired
- November 30, 2022
- License holder
- Son David Tan Phan
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
1511 Dominguez Ranch Road
Corona, CA 92882
Corona, CA 92882
Riverside County