TAM VAN THAI DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125035052

License Status

EXPIRED

Business

Title

First Name

TAM

Middle

VAN

Last Name

THAI

Business Name

TAM VAN THAI DO

Original Issue Date

06/13/1996

Effective Date

06/13/1996

Expiration Date

06/30/1999

City

OLYMPIA FLDS

State

Zip

60461

County

COOK

Ever Disciplined

LastModifiedDate

09/22/2006