TONY PHAM DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125043775

License Status

EXPIRED

Business

First Name

TONY

Last Name

PHAM

Suffix

Business Name

TONY PHAM DO

Original Issue Date

08/16/2001

Effective Date

08/16/2001

Expiration Date

08/15/2002

City

CHICAGO

State

Zip

60660

County

COOK

Ever Disciplined

LastModifiedDate

09/22/2006