TRI COLIN CONG TRAN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005364

License Status

NOT RENEWED

Business

First Name

TRI

Middle

COLIN CONG

Last Name

TRAN

Business Name

TRI COLIN CONG TRAN

Original Issue Date

12/08/2014

Effective Date

12/24/2019

Expiration Date

03/01/2022

City

GLENDALE HEIGHTS

State

Zip

60139

County

DUPAGE

Ever Disciplined

LastModifiedDate

07/27/2022