Mai Tuyet Phan
ExpiredCalifornia license 30857
License
- Licensed by
- California Physician Assistant Board
- License number
- 30857
- Status
- Expired (Delinquent)
- First issued
- September 30, 1999
- Expired
- June 30, 2001
- License holder
- Mai Tuyet Phan
- Entity type
- Individual
Classifications
- pab/SA Sa Physicians & Surgeons
More from the license record
- License type code
- 9503
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Contact
18625 Sherman Way, #104
Reseda, CA 91335
Reseda, CA 91335
Los Angeles County