HUNG CANH PHAN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125062472

License Status

EXPIRED

Business

Title

First Name

HUNG

Middle

CANH

Last Name

PHAN

Business Name

HUNG CANH PHAN MD

Original Issue Date

08/01/2013

Effective Date

08/01/2013

Expiration Date

08/30/2014

City

CHICAGO

State

Zip

60640

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

03/13/2015