THUAN GIA PHAM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****03

License Status

NOT RENEWED

Business

First Name

THUAN GIA

Last Name

PHAM

Suffix

Business Name

THUAN GIA PHAM MD

Original Issue Date

12/08/1982

Effective Date

12/08/1982

Expiration Date

07/31/1984

City

HIGHWOOD

State

Zip

60040

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006