CATHRYN PILAVUN PHOUYBANHDYT MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125083920

License Status

ACTIVE

Business

Title

First Name

CATHRYN

Middle

PILAVUN

Last Name

PHOUYBANHDYT

Business Name

CATHRYN PILAVUN PHOUYBANHDYT MD

Original Issue Date

06/24/2024

Effective Date

06/24/2024

Expiration Date

06/23/2027

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Emergency Medical Services

Ever Disciplined

LastModifiedDate

05/02/2024