THYTHY T PHAM Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125044407

License Status

EXPIRED

Business

First Name

THYTHY

Middle

Last Name

PHAM

Business Name

THYTHY T PHAM

Original Issue Date

05/09/2002

Effective Date

05/09/2002

Expiration Date

06/23/2006

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Obstetrics & Gynecology

Ever Disciplined

LastModifiedDate

09/22/2006