California
Department of Consumer Affairs
ITH-CHANG SAMNEANG PROUM
Physical Therapists and Physical Therapist Assistants
License number
29938
Date granted
11/24/2004
Date expires
01/31/2016
Class
Physical Therapists and Physical Therapist Assistants
Status
Valid
californialicensing.org
ID 12187893
LAST UPDATED 2024-04-13 11:17:39 UTC
LAST UPDATED 2024-04-13 11:17:39 UTC
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