TAM VAN THAI DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****10

License Status

ACTIVE

Business

Title

First Name

TAM

Middle

VAN

Last Name

THAI

Business Name

TAM VAN THAI DO

Original Issue Date

01/22/1998

Effective Date

07/13/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60610

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/13/2023