Thi Phuong Thuy Phung
ActiveCalifornia license 13836
License
- Licensed by
- California State Board of Optometry
- License number
- 13836
- Status
- Active (Current)
- First issued
- February 18, 2021
- Expires
- January 31, 2027
- License holder
- Thi Phuong Thuy Phung
- Entity type
- Individual
Classifications
- Statement of Licensure Vision & Hearing
More from the license record
- License type code
- 4203
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Contact
262 Gibson Dr
Suite 130
Roseville, CA 95678-5881
Suite 130
Roseville, CA 95678-5881