ANH KHOA PHAM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036148975

License Status

NOT RENEWED

Business

Title

First Name

ANH

Middle

KHOA

Last Name

PHAM

Business Name

ANH KHOA PHAM MD

Original Issue Date

04/09/2019

Effective Date

04/09/2019

Expiration Date

09/30/2020

City

LEBANON

State

Zip

03766

Ever Disciplined

LastModifiedDate

01/14/2021