CINDY PHAM HA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125060501

License Status

EXPIRED

Business

Title

First Name

CINDY

Middle

PHAM

Last Name

Business Name

CINDY PHAM HA MD

Original Issue Date

06/26/2014

Effective Date

06/26/2014

Expiration Date

06/25/2016

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

08/16/2016