THONG Q PHAM Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125018964

License Status

EXPIRED

Business

First Name

THONG Q

Last Name

PHAM

Business Name

THONG Q PHAM

Original Issue Date

08/09/1985

Effective Date

08/09/1985

Expiration Date

07/01/1988

City

PEORIA

State

Zip

61637

County

PEORIA

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006