Tri Minh Pham
ExpiredCalifornia license 12849
License
- Licensed by
- California Physician Assistant Board
- License number
- 12849
- Status
- Expired (Delinquent)
- First issued
- November 13, 1981
- Expired
- June 30, 2001
- License holder
- Tri Minh Pham
- Entity type
- Individual
Classifications
- pab/SA Sa Physicians & Surgeons
More from the license record
- License type code
- 9503
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Contact
1130 Coffee Rd Ste 2a
Modesto, CA 95355
Modesto, CA 95355
Stanislaus County