MAGGIE CHI PHAM DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125067277

License Status

EXPIRED

Business

Title

First Name

MAGGIE

Middle

CHI

Last Name

PHAM

Business Name

MAGGIE CHI PHAM DO

Original Issue Date

07/01/2018

Effective Date

07/01/2018

Expiration Date

06/30/2019

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Obstetrics and Gynecology

Ever Disciplined

LastModifiedDate

10/02/2019