CAMTHU MINH PHAM OD - Optometrist License in Illinois | # 046009314

CAMTHU MINH PHAM OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046009314

License Status

NOT RENEWED

Business

N

First Name

CAMTHU

Middle

MINH

Last Name

PHAM

Suffix

OD

Business Name

CAMTHU MINH PHAM OD

Original Issue Date

10/10/2000

Effective Date

04/09/2004

Expiration Date

03/31/2006

State

IL

Ever Disciplined

N

LastModifiedDate

05/11/2006