License holder summary

Sothy L Pheng is a Board Of Registration In Medicine licensed to practice in Massachusetts. The address on file for Sothy L Pheng is St. Jude Medical Center, 101 E Valencia Mesa Dr, Fullerton 92835. This licensed professional license is current. The license was granted 08/18/2004 and expired on 04/07/2017.

Massachusetts

Division of Professional Licensure

Sothy L Pheng
Board Of Registration In Medicine
License number
220489
Date granted
08/18/2004
Date expires
04/07/2017
Class
Board Of Registration In Medicine
Status
Active
Address
St. Jude Medical Center, 101 E Valencia Mesa Dr
licensingma.org
ID 41466523
LAST UPDATED 2024-04-07 08:42:59 UTC

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