LILY PHOUIKHAM Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036136433

License Status

ACTIVE

Business

First Name

LILY

Last Name

PHOUIKHAM

Business Name

LILY PHOUIKHAM

Original Issue Date

09/08/2014

Effective Date

05/01/2023

Expiration Date

07/31/2026

City

ELK GROVE VILLAGE

State

Zip

60007

Ever Disciplined

LastModifiedDate

05/01/2023