License Directory

Dan Vongtama

Active

California license A109003

License

Licensed by
Medical Board of California
License number
A109003
Status
Active (Current)
First issued
July 24, 2009
Expires
February 28, 2029
License holder
Dan Vongtama
Entity type
Individual

Classifications

More from the license record

License type code
8002

Contact

3742 S Merrimac Circle
Stockton, CA 95219
San Joaquin County