Daniel Thanh Phong Truong
ExpiredIllinois license 085007403
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 085007403
- Status
- Expired (Not Renewed)
- First issued
- October 21, 2019
- Expired
- March 1, 2020
- License holder
- Daniel Thanh Phong Truong
- Entity type
- Individual
Classifications
- Licensed Physician Assistant Physicians & Surgeons
More from the license record
- Current term began
- 10/21/2019
Contact
Oklahoma City, OK 73170