Derek Daniel Prabharasuth
ExpiredCalifornia license A129022
License
- Licensed by
- Medical Board of California
- License number
- A129022
- Status
- Expired (Delinquent)
- First issued
- March 6, 2014
- Expired
- February 28, 2022
- License holder
- Derek Daniel Prabharasuth
- Entity type
- Individual
Classifications
- Physician and Surgeon A Physicians & Surgeons
More from the license record
- License type code
- 8002
Contact
8461 NW 47th Ter
Doral, FL 33166-5657
Doral, FL 33166-5657
Miami-Dade County