CATHERINE DANG-CHAU PHAN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****11

License Status

NOT RENEWED

Business

First Name

CATHERINE

Middle

DANG-CHAU

Last Name

PHAN

Suffix

DDS

Business Name

CATHERINE DANG-CHAU PHAN DDS

Original Issue Date

12/22/2004

Effective Date

09/10/2018

Expiration Date

01/31/2022

City

GURNEE

State

Zip

60031

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022