TAMMY K PHAM DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125062341

License Status

EXPIRED

Business

Title

First Name

TAMMY

Middle

Last Name

PHAM

Business Name

TAMMY K PHAM DO

Original Issue Date

06/29/2012

Effective Date

06/29/2012

Expiration Date

06/28/2015

City

BERWYN

State

Zip

60402

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/04/2015