VU ANH PHAN DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****07

License Status

ACTIVE

Business

First Name

Middle

ANH

Last Name

PHAN

Suffix

DDS

Business Name

VU ANH PHAN DDS

Original Issue Date

10/29/1998

Effective Date

08/21/2024

Expiration Date

09/30/2027

City

WAUKEGAN

State

Zip

60085

County

LAKE

Ever Disciplined

LastModifiedDate

08/21/2024