DAVE QUANG PHAM DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016004867

License Status

NOT RENEWED

Business

First Name

DAVE QUANG

Last Name

PHAM

Suffix

DPM

Business Name

DAVE QUANG PHAM DPM

Original Issue Date

03/31/1998

Effective Date

11/17/2014

Expiration Date

01/31/2017

City

BELLEVILLE

State

Zip

62223

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

03/27/2017

Case Number

2014007864

Action

Suspension

Discipline Start Date

10/19/2015

Discipline Reason

after he was convicted of a felony and had his Missouri podiatrist license revoked.