TIEN T PHAM - Advanced Practice Nurse License in Illinois | # 277001695

TIEN T PHAM

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

FULL PRACTICE AUTHORITY APRN

License Number

277001695

License Status

ACTIVE

Business

N

First Name

TIEN

Middle

T

Last Name

PHAM

Business Name

TIEN T PHAM

Original Issue Date

11/18/2021

Effective Date

05/05/2024

Expiration Date

05/31/2026

State

IL

Ever Disciplined

N

LastModifiedDate

03/02/2026