TRI COLIN CONG TRAN - Physician Assistant License in Illinois | # 085005364

TRI COLIN CONG TRAN

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005364

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

07/27/2022