DERRICK PHAM - Registered Nurse License in Illinois | # 041574301

DERRICK PHAM

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041574301

License Status

ACTIVE

Business

N

First Name

DERRICK

Last Name

PHAM

Business Name

DERRICK PHAM

Original Issue Date

09/30/2024

Effective Date

04/03/2026

Expiration Date

05/31/2028

State

IL

Ever Disciplined

N

LastModifiedDate

04/03/2026