SUZANNE THI PHAM MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125049355

License Status

CANCELLED

Business

First Name

SUZANNE

Middle

THI

Last Name

PHAM

Suffix

Business Name

SUZANNE THI PHAM MD

Original Issue Date

07/01/2008

Effective Date

07/01/2008

Expiration Date

06/30/2009

City

CHICAGO

State

Zip

60630

County

COOK

Specialty/Qualifier

Internal Medicine/Pediatrics

Ever Disciplined

LastModifiedDate

04/16/2008