STEPHANIE PHAN GARRETT Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****13

License Status

ACTIVE

Business

First Name

STEPHANIE

Middle

PHAN

Last Name

GARRETT

Business Name

STEPHANIE PHAN GARRETT

Original Issue Date

04/17/2014

Effective Date

05/20/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60607

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/20/2024