MARY R PHAM DDS - Dentist License in Illinois | # 019028182

MARY R PHAM DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019028182

License Status

NOT RENEWED

Business

N

Title

DDS

First Name

MARY

Middle

R

Last Name

PHAM

Business Name

MARY R PHAM DDS

Original Issue Date

12/29/2009

Effective Date

12/29/2009

Expiration Date

09/30/2012

State

IL

Ever Disciplined

N

LastModifiedDate

11/14/2012