License Directory

Thao Phuong Pham

Active

Michigan license 5101014259

License

Licensed by
Michigan Department of Licensing and Regulatory Affairs
License number
5101014259
Status
Active
First issued
May 16, 2002
Expires
May 16, 2027
License holder
Thao Phuong Pham
Entity type
Individual

Classifications

Contact

Henry Ford Macomb Fraser Medical Center
15717 Fifteen Mile Road
Clinton Township, MI 48035
Macomb County