TRUNG Q PHAM Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036105385

License Status

ACTIVE

Business

First Name

TRUNG

Middle

Last Name

PHAM

Business Name

TRUNG Q PHAM

Original Issue Date

08/09/2001

Effective Date

06/20/2023

Expiration Date

07/31/2026

City

TUBA CITY

State

Zip

86045

Ever Disciplined

LastModifiedDate

06/30/2023