License holder summary

LUU NGOC BAOTRAM is a Medical Physician Assistant licensed to practice in Pennsylvania. The address on file for LUU NGOC BAOTRAM is Philadelphia PA 19142. This licensed professional license is current. The license was granted 04/27/2004 and expired on 12/31/2016.

Pennsylvania

Department of State

LUU NGOC BAOTRAM
Medical Physician Assistant
License number
MA051657
Date granted
04/27/2004
Date expires
12/31/2016
Class
Medical Physician Assistant
Status
Active
Address
Philadelphia PA 19142
palicensing.org
ID 16636602
LAST UPDATED 2024-04-13 09:22:05 UTC

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