THONG Q PHAM Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036077772

License Status

NOT RENEWED

Business

First Name

THONG Q

Last Name

PHAM

Business Name

THONG Q PHAM

Original Issue Date

09/13/1988

Effective Date

04/28/2011

Expiration Date

07/31/2014

City

SIOUX CITY

State

Zip

51101

County

IOWA

Ever Disciplined

LastModifiedDate

11/17/2014