XUANLAN THI PHAN Dentist License verification

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001011

License Status

EXPIRED

Business

First Name

XUANLAN THI

Last Name

PHAN

Business Name

XUANLAN THI PHAN

Original Issue Date

05/15/1997

Effective Date

05/15/1997

Expiration Date

05/30/2000

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Orthodontics

Ever Disciplined

LastModifiedDate

10/12/2005