HANH PHUONGHONG MAI DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125058494

License Status

CANCELLED

Business

Title

First Name

HANH

Middle

PHUONGHONG

Last Name

MAI

Business Name

HANH PHUONGHONG MAI DO

Original Issue Date

06/22/2010

Effective Date

06/22/2010

Expiration Date

06/21/2013

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

05/13/2010