Thavinsakdi Viravathana
ExpiredCalifornia license A34942
License
- Licensed by
- Medical Board of California
- License number
- A34942
- Status
- Expired (Delinquent)
- First issued
- February 25, 1980
- Expired
- August 31, 2023
- License holder
- Thavinsakdi Viravathana
- Entity type
- Individual
Classifications
- Physician and Surgeon A Physicians & Surgeons
More from the license record
- License type code
- 8002
Contact
7349 Milliken Ave # 140325
Rancho Cucamonga, CA 91730-7435
Rancho Cucamonga, CA 91730-7435
San Bernardino County