License Directory

Ly Thanh Phan

Active

California license A108012

License

Licensed by
Medical Board of California
License number
A108012
Status
Active (Current)
First issued
March 1, 2019
Expires
March 31, 2027
License holder
Ly Thanh Phan
Entity type
Individual

Classifications

More from the license record

License type code
8002

Contact

19090 Highway C
Lawson, MO 64062-7075
Ray County