Department of State
Board of Medicine
DAT THANH TA
Graduate Medical Trainee
License number
MT196983
Date granted
04/23/2010
Date expires
06/19/2013
Class
Graduate Medical Trainee
Status
Inactive
Address
Chicago IL 60607
medicinepa.com
ID 37573339
LAST UPDATED 2026-07-04 16:06:12 UTC
LAST UPDATED 2026-07-04 16:06:12 UTC
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