The holder whose full name is NGUYEN, QUYNAM PHUOC,come from RANCHO CORDOVA CA,hold the Physician license(NO.01042264A) which status is Expired Non-Renewable.
| Name | NGUYEN, QUYNAM PHUOC |
|---|---|
| License Number | 01042264A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | RANCHO CORDOVA |
| State | CA |