PHUONG THI KIM TRAN Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005748

License Status

ACTIVE

Business

First Name

PHUONG

Middle

THI KIM

Last Name

TRAN

Business Name

PHUONG THI KIM TRAN

Original Issue Date

12/15/2015

Effective Date

02/04/2026

Expiration Date

03/01/2028

City

SAN DIEGO

State

Zip

92126

Ever Disciplined

LastModifiedDate

02/04/2026