TRACY DIEM TRANG PHAM MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125085498

License Status

ACTIVE

Business

Title

First Name

TRACY

Middle

DIEM TRANG

Last Name

PHAM

Business Name

TRACY DIEM TRANG PHAM MD

Original Issue Date

06/24/2025

Effective Date

06/24/2025

Expiration Date

06/23/2028

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

04/13/2025