PHUC THIEN PHUNG MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036157151

License Status

ACTIVE

Business

Title

First Name

PHUC

Middle

THIEN

Last Name

PHUNG

Business Name

PHUC THIEN PHUNG MD

Original Issue Date

06/02/2021

Effective Date

05/23/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60604

County

COOK

Ever Disciplined

LastModifiedDate

05/23/2023