OANH JULIE PHAM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****54

License Status

NOT RENEWED

Business

Title

First Name

OANH

Middle

JULIE

Last Name

PHAM

Business Name

OANH JULIE PHAM MD

Original Issue Date

06/21/2016

Effective Date

06/21/2016

Expiration Date

07/31/2017

City

KANKAKEE

State

Zip

60901

County

KANKAKEE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020