MINH DUY PHAM Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****58

License Status

NOT RENEWED

Business

First Name

MINH

Middle

DUY

Last Name

PHAM

Business Name

MINH DUY PHAM

Original Issue Date

06/30/1998

Effective Date

06/30/1998

Expiration Date

07/31/2002

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006