Ly Thanh Phan
ActiveCalifornia 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
- Physician and Surgeon A Physicians & Surgeons
More from the license record
- License type code
- 8002
Contact
19090 Highway C
Lawson, MO 64062-7075
Lawson, MO 64062-7075
Ray County