UYEN THANH PHAM LE DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125074587

License Status

EXPIRED

Business

Title

First Name

UYEN THANH

Last Name

PHAM LE

Business Name

UYEN THANH PHAM LE DO

Original Issue Date

07/01/2019

Effective Date

07/01/2019

Expiration Date

06/30/2022

City

NORMAL

State

Zip

61761

County

MCLEAN

Specialty/Qualifier

Family Medicine and OMT

Ever Disciplined

LastModifiedDate

10/11/2022