PHUC THI NGOC LE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036111145

License Status

NOT RENEWED

Business

First Name

PHUC

Middle

THI NGOC

Last Name

Suffix

Business Name

PHUC THI NGOC LE MD

Original Issue Date

04/05/2004

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

11/06/2008