VY VAN PHAN MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036065877

License Status

INACTIVE

Business

First Name

VY VAN

Last Name

PHAN

Suffix

Business Name

VY VAN PHAN MD

Original Issue Date

12/22/1982

Effective Date

12/22/1982

Expiration Date

07/31/1987

City

FAIRFAX

State

Zip

22031

County

VIRGINIA

Ever Disciplined

LastModifiedDate

09/20/2006