CAMERON PHEN DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****01

License Status

ACTIVE

Business

Title

DDS

First Name

CAMERON

Last Name

PHEN

Business Name

CAMERON PHEN DDS

Original Issue Date

07/29/2024

Effective Date

07/29/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60612

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/29/2024