PHUONG NHU THI PHAM Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****36

License Status

ACTIVE

Business

First Name

PHUONG

Middle

NHU THI

Last Name

PHAM

Business Name

PHUONG NHU THI PHAM

Original Issue Date

07/17/2025

Effective Date

01/06/2026

Expiration Date

03/01/2028

City

CHICAGO RIDGE

State

Zip

60415

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/06/2026