DUNG TIEN PHAM MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125065712

License Status

EXPIRED

Business

Title

First Name

DUNG

Middle

TIEN

Last Name

PHAM

Business Name

DUNG TIEN PHAM MD

Original Issue Date

07/01/2017

Effective Date

07/01/2017

Expiration Date

06/30/2018

City

60612-3800

State

Zip

60612

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

10/25/2018