JULIE DAN-PHUONG VAN DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036114087

License Status

ACTIVE

Business

First Name

JULIE

Middle

DAN-PHUONG

Last Name

VAN

Suffix

Business Name

JULIE DAN-PHUONG VAN DO

Original Issue Date

06/30/2005

Effective Date

07/06/2023

Expiration Date

07/31/2026

City

LISLE

State

Zip

60532

County

DUPAGE

Ever Disciplined

LastModifiedDate

07/06/2023