ANDY PHAN Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125038678

License Status

EXPIRED

Business

First Name

ANDY

Last Name

PHAN

Business Name

ANDY PHAN

Original Issue Date

06/30/1998

Effective Date

06/30/1998

Expiration Date

06/30/2001

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/22/2006