Dan Vongtama
ActiveCalifornia 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
- Physician and Surgeon A Physicians & Surgeons
More from the license record
- License type code
- 8002
Contact
3742 S Merrimac Circle
Stockton, CA 95219
Stockton, CA 95219
San Joaquin County