STEPHANIE PHAN GARRETT Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137001052

License Status

NOT RENEWED

Business

First Name

STEPHANIE

Middle

PHAN

Last Name

GARRETT

Business Name

STEPHANIE PHAN GARRETT

Original Issue Date

02/03/2020

Effective Date

09/11/2021

Expiration Date

09/30/2024

City

OAK BROOK

State

Zip

60523

County

DUPAGE

Specialty/Qualifier

CONSCIOUS SEDATION - PERMIT A

Ever Disciplined

LastModifiedDate

02/04/2025