VAN TUONG PHAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036158251

License Status

ACTIVE

Business

Title

First Name

VAN

Middle

TUONG

Last Name

PHAN

Business Name

VAN TUONG PHAN MD

Original Issue Date

09/09/2021

Effective Date

05/01/2023

Expiration Date

07/31/2026

City

MAYWOOD

State

Zip

60153

County

COOK

Ever Disciplined

LastModifiedDate

02/09/2024