CAMTHU MINH PHAM OD - Optometrist License in Illinois | # 047929484

CAMTHU MINH PHAM OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047929484

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

05/28/2003

Effective Date

06/04/2004

Expiration Date

03/31/2004

State

IL

Ever Disciplined

N

LastModifiedDate

09/11/2005