License holder summary

THAO THANH PHUNG is a Medical Physician Assistant licensed to practice in Pennsylvania. The address on file for THAO THANH PHUNG is Lutherville Timonium MD 21093. This licensed professional license is not current. The license was granted 09/29/2009 and expired on 12/31/2012.

Pennsylvania

Department of State

THAO THANH PHUNG
Medical Physician Assistant
License number
MA054159
Date granted
09/29/2009
Date expires
12/31/2012
Class
Medical Physician Assistant
Status
Inactive
Address
Lutherville Timonium MD 21093
palicensing.org
ID 16639030
LAST UPDATED 2024-02-26 13:35:56 UTC

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