Peter Tan Phan
ExpiredCalifornia license 62077
License
- Licensed by
- Dental Board of California
- License number
- 62077
- Status
- Expired (Delinquent)
- First issued
- December 5, 2012
- Expired
- September 30, 2022
- License holder
- Peter Tan Phan
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
1 Wood Hollow Way
Hanover, MA 02339-1886
Hanover, MA 02339-1886
Plymouth County