JIMMY DUY PHAM DDS - Dentist License in Illinois | # 019034108

JIMMY DUY PHAM DDS

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019034108

License Status

INACTIVE

Business

N

Title

DDS

First Name

JIMMY

Middle

DUY

Last Name

PHAM

Business Name

JIMMY DUY PHAM DDS

Original Issue Date

03/13/2023

Effective Date

03/13/2023

Expiration Date

09/30/2024

State

IL

Ever Disciplined

N

LastModifiedDate

09/23/2024