NHA TAM HUYNH DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125054068

License Status

CANCELLED

Business

Title

First Name

NHA

Middle

TAM

Last Name

HUYNH

Business Name

NHA TAM HUYNH DO

Original Issue Date

06/23/2008

Effective Date

06/23/2008

Expiration Date

06/22/2011

City

KANKAKEE

State

Zip

60901

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

05/06/2008