PHUC NHAT LE - Medical Doctor License in Illinois | # 125053473

PHUC NHAT LE

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125053473

License Status

EXPIRED

Business

N

First Name

PHUC

Middle

NHAT

Last Name

LE

Business Name

PHUC NHAT LE

Original Issue Date

06/25/2007

Effective Date

06/25/2007

Expiration Date

06/24/2010

State

IL

Specialty/Qualifier

Family Medicine

Ever Disciplined

N

LastModifiedDate

06/24/2010