JULIEN LE PHAM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036118978

License Status

NOT RENEWED

Business

First Name

JULIEN

Middle

Last Name

PHAM

Suffix

Business Name

JULIEN LE PHAM MD

Original Issue Date

07/18/2007

Effective Date

07/18/2007

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60605

County

COOK

Ever Disciplined

LastModifiedDate

11/06/2008