DAN VONGTAMA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036134605

License Status

NOT RENEWED

Business

Title

First Name

DAN

Last Name

VONGTAMA

Business Name

DAN VONGTAMA MD

Original Issue Date

02/19/2014

Effective Date

04/15/2014

Expiration Date

07/31/2017

City

BRENTWOOD

State

Zip

94513

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

11/01/2017