Benita Basa Tan
ExpiredCalifornia license A53599
License
- Licensed by
- Medical Board of California
- License number
- A53599
- Status
- Expired (Delinquent)
- First issued
- October 5, 1994
- Expired
- April 30, 2026
- License holder
- Benita Basa Tan
- Entity type
- Individual
Classifications
- Physician and Surgeon A Physicians & Surgeons
More from the license record
- License type code
- 8002
Contact
2806 Montair Pl
Union City, CA 94587-1680
Union City, CA 94587-1680
Alameda County