Thasana Nivatpumin
ExpiredCalifornia license 22073
License
- Licensed by
- California Physician Assistant Board
- License number
- 22073
- Status
- Expired (Delinquent)
- First issued
- August 6, 1993
- Expired
- June 30, 2001
- License holder
- Thasana Nivatpumin
- Entity type
- Individual
Classifications
- pab/SA Sa Physicians & Surgeons
More from the license record
- License type code
- 9503
Other California licenses under this name
-
CA
ExpiredBeverly Hills, CAExpired Apr 30, 2023
Contact
9735 Wilshire Blvd #223
Beverly Hills, CA 90212
Beverly Hills, CA 90212
Los Angeles County