CHI-LAN THI PHAM DDS Dentist License verification

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018002003

License Status

EXPIRED

Business

Title

DDS

First Name

CHI-LAN

Middle

THI

Last Name

PHAM

Business Name

CHI-LAN THI PHAM DDS

Original Issue Date

06/28/2016

Effective Date

07/01/2016

Expiration Date

06/30/2018

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Advanced General Dentistry

Ever Disciplined

LastModifiedDate

10/25/2018