BANG VU PHAM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****93

License Status

NOT RENEWED

Business

First Name

BANG VU

Last Name

PHAM

Suffix

Business Name

BANG VU PHAM MD

Original Issue Date

06/09/1983

Effective Date

06/09/1983

Expiration Date

07/31/1984

City

CHICAGO

State

Zip

60608

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006