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Licensing details for: PTL 3481

Name: TO, MAGNUS MINH THUC PHU

License Type: Postgraduate Training License

Primary Status: License Canceled Primary Status Definition

School Name: St. George's University School of Medicine

Graduation Year: 2020

Previous Names: To, Magnus TO, MAGNUS

Current Enrolled Postgraduate Training Program

Facility Name: Riverside Community Hospital/University of California Riverside School of Medicine Program

City: Riverside

State: California

Speciality: Internal medicine

Start Date: 07/01/2020

Anticipated End Date: 06/30/2023

Address of Record

4445 Magnolia Ave
RIVERSIDE CA 92501-4135
RIVERSIDE county
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Issuance Date

September 15, 2020

Expiration Date

N/A

Current Date / Time

April 1, 2026
4:03:37 PM

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License Relationships

Postgraduate Training License associated with Physician & Surgeon License

License/Registration Role: Postgraduate Training License

Related Party Role: Physician & Surgeon

Name: TO, MAGNUS MINH THUC PHU

License/Registration Type: Physician's and Surgeon's

License Number: 186714 Primary Status: License Renewed & Current

Address :
4445 Magnolia Ave
RIVERSIDE CA 92501-4135
RIVERSIDE COUNTY

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