ELIZABETH MARY PHAM DMD - Dentist License in West Virginia | # 019028667

ELIZABETH MARY PHAM DMD

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019028667

License Status

NOT RENEWED

Business

N

Title

DMD

First Name

ELIZABETH

Middle

MARY

Last Name

PHAM

Business Name

ELIZABETH MARY PHAM DMD

Original Issue Date

06/15/2011

Effective Date

06/25/2012

Expiration Date

09/30/2015

State

WV

Ever Disciplined

N

LastModifiedDate

02/08/2016