TIEN T PHAM Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

FULL PRACTICE AUTHORITY APRN CONTROL SUB

License Number

37*****42

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

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

03/02/2026