MARY R PHAM DDS Dentist License verification

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001732

License Status

EXPIRED

Business

Title

DDS

First Name

MARY

Middle

Last Name

PHAM

Business Name

MARY R PHAM DDS

Original Issue Date

06/09/2009

Effective Date

07/01/2009

Expiration Date

06/30/2011

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Pediatric Dentist

Ever Disciplined

LastModifiedDate

07/30/2018