LAUREN BROOKE KATZ PHAM MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125052491

License Status

EXPIRED

Business

Title

First Name

LAUREN

Middle

BROOKE

Last Name

KATZ PHAM

Business Name

LAUREN BROOKE KATZ PHAM MD

Original Issue Date

06/25/2007

Effective Date

06/25/2007

Expiration Date

06/24/2010

City

ROLLING MEADOWS

State

Zip

60008

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

06/24/2010