ANH KHOA PHAM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****07

License Status

NOT RENEWED

Business

Title

First Name

ANH

Middle

KHOA

Last Name

PHAM

Business Name

ANH KHOA PHAM MD

Original Issue Date

05/13/2019

Effective Date

05/13/2019

Expiration Date

09/30/2020

City

NORFOLK

State

Zip

23509

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021