CHI-LAN THI PHAM DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019031604

License Status

NOT RENEWED

Business

Title

DDS

First Name

CHI-LAN

Middle

THI

Last Name

PHAM

Business Name

CHI-LAN THI PHAM DDS

Original Issue Date

06/04/2018

Effective Date

06/04/2018

Expiration Date

01/31/2022

City

CHICAGO

State

Zip

60647

County

COOK

Ever Disciplined

LastModifiedDate

05/09/2022