MARIAN HONG PHAM MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036163035

License Status

ACTIVE

Business

Title

First Name

MARIAN

Middle

HONG

Last Name

PHAM

Business Name

MARIAN HONG PHAM MD

Original Issue Date

11/29/2022

Effective Date

07/12/2023

Expiration Date

07/31/2026

City

SALT LAKE CITY

State

Zip

84119

Ever Disciplined

LastModifiedDate

06/06/2024