Premwadee K Chantra
ExpiredCalifornia license A30579
License
- Licensed by
- Medical Board of California
- License number
- A30579
- Status
- Expired (Delinquent)
- First issued
- November 16, 1976
- Expired
- December 31, 2025
- License holder
- Premwadee K Chantra
- Entity type
- Individual
Classifications
- Physician and Surgeon A Physicians & Surgeons
More from the license record
- License type code
- 8002
Contact
237 Conway Ave
Los Angeles, CA 90024-2601
Los Angeles, CA 90024-2601
Los Angeles County