License holder summary

THAO-LY TAM PHAN is a Graduate Medical Trainee licensed to practice in Pennsylvania. The address on file for THAO-LY TAM PHAN is Wilmington DE 19801. This medical practitioner license is not current. The license was granted 05/22/2009 and expired on 06/30/2012.

Department of State

Board of Medicine

THAO-LY TAM PHAN
Graduate Medical Trainee
License number
MT195639
Date granted
05/22/2009
Date expires
06/30/2012
Class
Graduate Medical Trainee
Status
Inactive
Address
Wilmington DE 19801
medicinepa.com
ID 37559765
LAST UPDATED 2024-04-01 13:18:50 UTC

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