License holder summary

Cuong Quoc Phan is a Physician licensed to practice in Indiana. The address on file for Cuong Quoc Phan is Forest Hills NY 11375. This licensed professional license is current. The license was granted 07/29/1980 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Cuong Quoc Phan
Physician
License number
01030147A
Date granted
07/29/1980
Date expires
10/31/2015
Class
Physician
Status
Active
Address
Forest Hills NY 11375
indianalicensing.org
ID 6052325
LAST UPDATED 2024-04-01 14:29:08 UTC

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