ANTHONY PHAM Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036151195

License Status

ACTIVE

Business

First Name

ANTHONY

Last Name

PHAM

Business Name

ANTHONY PHAM

Original Issue Date

11/13/2019

Effective Date

04/12/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60611

Ever Disciplined

LastModifiedDate

03/04/2026