PHU VAN TRUONG Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125044674

License Status

EXPIRED

Business

First Name

PHU VAN

Last Name

TRUONG

Business Name

PHU VAN TRUONG

Original Issue Date

07/01/2002

Effective Date

07/01/2002

Expiration Date

06/30/2004

City

CHICAGO

State

Zip

60631

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006