PHUONGMAI JENNIFER THI VU MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125059631

License Status

CANCELLED

Business

Title

First Name

PHUONGMAI JENNIFER

Middle

THI

Last Name

Business Name

PHUONGMAI JENNIFER THI VU MD

Original Issue Date

07/01/2014

Effective Date

07/01/2014

Expiration Date

06/30/2015

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine/Pediatrics

Ever Disciplined

LastModifiedDate

07/01/2014