VY VAN PHAN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125014838

License Status

EXPIRED

Business

First Name

VY VAN

Last Name

PHAN

Suffix

Business Name

VY VAN PHAN MD

Original Issue Date

07/16/1982

Effective Date

07/16/1982

Expiration Date

07/01/1984

City

CHICAGO

State

Zip

60617

County

COOK

Specialty/Qualifier

Family Practice & OMT

Ever Disciplined

LastModifiedDate

09/22/2006