License holder summary

AN KIEU PHAN is a Graduate Medical Trainee licensed to practice in Pennsylvania. The address on file for AN KIEU PHAN is Tewksbury MA 01876. This medical practitioner license is not current. The license was granted 06/06/2003 and expired on 06/30/2006.

Department of State

Board of Medicine

AN KIEU PHAN
Graduate Medical Trainee
License number
MT182375
Date granted
06/06/2003
Date expires
06/30/2006
Class
Graduate Medical Trainee
Status
Expired
Address
Tewksbury MA 01876
medicinepa.com
ID 37559028
LAST UPDATED 2024-02-23 20:27:49 UTC

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