Vivian Ong Tan
ExpiredCalifornia license A67609
License
- Licensed by
- Medical Board of California
- License number
- A67609
- Status
- Expired (Delinquent)
- First issued
- February 19, 1999
- Expired
- September 30, 2024
- License holder
- Vivian Ong Tan
- Entity type
- Individual
Classifications
- Physician and Surgeon A Physicians & Surgeons
More from the license record
- License type code
- 8002
Contact
1360 Park Center Dr
Vista, CA 92081-8300
Vista, CA 92081-8300
San Diego County