Phuket Tantivit

License

Licensed by

Medical Board of California

License number

A53305

Status

Active (Current)

First issued

July 20, 1994

Expires

July 31, 2028

License holder

Phuket Tantivit

Entity type

Individual

Classifications

• Physician and Surgeon A Physicians & Surgeons

More from the license record

License type code

8002

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