KIM PHAM MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130001495

License Status

EXPIRED

Business

Title

First Name

KIM

Last Name

PHAM

Business Name

KIM PHAM MD

Original Issue Date

03/06/2023

Effective Date

03/06/2023

Expiration Date

09/05/2023

City

CHICAGO

State

Zip

60611

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

03/06/2024