DALENA NGOC PHAM Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085009542

License Status

NOT RENEWED

Business

First Name

DALENA

Middle

NGOC

Last Name

PHAM

Business Name

DALENA NGOC PHAM

Original Issue Date

03/03/2023

Effective Date

03/03/2023

Expiration Date

03/01/2024

City

WHITTIER

State

Zip

90606

Ever Disciplined

LastModifiedDate

02/05/2025