TIEN T PHAM Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

FULL PRACTICE AUTHORITY APRN

License Number

277001695

License Status

ACTIVE

Business

First Name

TIEN

Middle

Last Name

PHAM

Business Name

TIEN T PHAM

Original Issue Date

11/18/2021

Effective Date

05/05/2024

Expiration Date

05/31/2026

City

WASHINGTON

State

Zip

61571

County

TAZEWELL

Ever Disciplined

LastModifiedDate

03/02/2026