License holder summary

Phan, Ly Thanh is a Medical Physician & Surgeon licensed to practice in Missouri. This licensed professional license is current. The license was granted 09/21/2005 and expired on 01/31/2014.

Missouri

Division of Professional Registration

Phan, Ly Thanh
Medical Physician & Surgeon
License number
2005030724  
Date granted
09/21/2005
Date expires
01/31/2014
Class
Medical Physician & Surgeon
Status
Clear
licensingmissouri.org
ID 2157322
LAST UPDATED 2026-03-23 11:43:14 UTC

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