PHU SI HUYNH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036162673

License Status

ACTIVE

Business

Title

First Name

PHU

Middle

Last Name

HUYNH

Business Name

PHU SI HUYNH MD

Original Issue Date

10/21/2022

Effective Date

07/05/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61637

County

PEORIA

Ever Disciplined

LastModifiedDate

07/05/2023