Tung Dong Phan
ExpiredCalifornia license A36944
License
- Licensed by
- Medical Board of California
- License number
- A36944
- Status
- Expired (Delinquent)
- First issued
- July 1, 1981
- Expired
- November 30, 2022
- License holder
- Tung Dong Phan
- Entity type
- Individual
Classifications
- Physician and Surgeon A Physicians & Surgeons
More from the license record
- License type code
- 8002
Contact
2822 Glauser Dr
San Jose, CA 95133
San Jose, CA 95133
Santa Clara County