QUOC VAN PHAM MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125058561

License Status

EXPIRED

Business

Title

First Name

QUOC

Middle

VAN

Last Name

PHAM

Business Name

QUOC VAN PHAM MD

Original Issue Date

06/26/2010

Effective Date

06/26/2010

Expiration Date

06/25/2013

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

10/07/2013