DON PHAM DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****11

License Status

ACTIVE

Business

Title

DMD

First Name

DON

Last Name

PHAM

Business Name

DON PHAM DMD

Original Issue Date

06/28/2021

Effective Date

07/08/2024

Expiration Date

09/30/2027

City

EVANSTON

State

Zip

60203

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/08/2024