Idaho
Division of Occupational and Professional Licenses
Dr. BY PHAM
Board Of Medicine
License number
M-11643
Date granted
05/09/2012
Date expires
08/01/2013
Class
Board Of Medicine
Status
Canceled
Address
10 N 32ND AVE YAKIMA WA 98902
idaholicensing.com
ID 48362303
LAST UPDATED 2024-03-05 01:57:26 UTC
LAST UPDATED 2024-03-05 01:57:26 UTC
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