QUANG DUY PHAM DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125030015

License Status

EXPIRED

Business

First Name

QUANG DUY

Last Name

PHAM

Suffix

Business Name

QUANG DUY PHAM DO

Original Issue Date

05/28/1993

Effective Date

05/28/1993

Expiration Date

06/20/1997

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

09/22/2006