KEVIN PHAM DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036157104

License Status

ACTIVE

Business

Title

First Name

KEVIN

Last Name

PHAM

Business Name

KEVIN PHAM DO

Original Issue Date

05/27/2021

Effective Date

04/11/2023

Expiration Date

07/31/2026

City

ROODHOUSE

State

Zip

62082

County

GREENE

Ever Disciplined

LastModifiedDate

04/11/2023