Thi Phuong Thuy Phung
ExpiredCalifornia license 14668
License
- Licensed by
- California State Board of Optometry
- License number
- 14668
- Status
- Expired (Delinquent)
- First issued
- May 15, 2023
- Expired
- January 31, 2025
- 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
5773 Greenback Ln
Sacramento, CA 95841-2013
Sacramento, CA 95841-2013