License holder summary

MAI LISA PHUONG is a Dental License licensed to practice in California. The address on file for MAI LISA PHUONG is 2444 RANCHGROVE DR WESTLAKE VILLAGE CA 91361. This licensed professional license is not current. The license was granted 09/02/2009 and expired on 02/28/2017.

California

Department of Consumer Affairs

MAI LISA PHUONG
Dental License
License number
58810
Date granted
09/02/2009
Date expires
02/28/2017
Class
Dental License
Status
Inactive
Address
2444 RANCHGROVE DR WESTLAKE VILLAGE CA 91361
californialicensing.org
ID 19804940
LAST UPDATED 2024-02-26 03:37:36 UTC

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