LOC N PHAM MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036071693

License Status

INACTIVE

Business

First Name

LOC N

Last Name

PHAM

Suffix

Business Name

LOC N PHAM MD

Original Issue Date

09/18/1985

Effective Date

09/18/1985

Expiration Date

07/31/1993

City

ATLANTA

State

Zip

30362

County

GEORGIA

Ever Disciplined

LastModifiedDate

09/20/2006