LONG-QUAN DUC PHAM MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125083187

License Status

ACTIVE

Business

Title

First Name

LONG-QUAN

Middle

DUC

Last Name

PHAM

Business Name

LONG-QUAN DUC PHAM MD

Original Issue Date

07/01/2024

Effective Date

07/01/2024

Expiration Date

06/30/2027

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

04/16/2024