ANTHONY VINH PHAN DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036150086

License Status

ACTIVE

Business

Title

First Name

ANTHONY

Middle

VINH

Last Name

PHAN

Business Name

ANTHONY VINH PHAN DO

Original Issue Date

07/02/2019

Effective Date

06/02/2023

Expiration Date

07/31/2026

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

06/02/2023