DOROTHY PHAM Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****14

License Status

ACTIVE

Business

First Name

DOROTHY

Last Name

PHAM

Business Name

DOROTHY PHAM

Original Issue Date

09/16/2020

Effective Date

02/24/2026

Expiration Date

03/01/2028

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/24/2026