BINH AN PHUONG PHAN MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036121748

License Status

INACTIVE

Business

Title

First Name

BINH AN

Middle

PHUONG

Last Name

PHAN

Business Name

BINH AN PHUONG PHAN MD

Original Issue Date

08/14/2008

Effective Date

06/24/2011

Expiration Date

07/31/2014

City

OAK PARK

State

Zip

60302

County

COOK

Ever Disciplined

LastModifiedDate

04/08/2014