XUAN LAN T PHAN TRAN DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****17

License Status

ACTIVE

Business

First Name

XUAN LAN

Middle

Last Name

PHAN TRAN

Suffix

DDS

Business Name

XUAN LAN T PHAN TRAN DDS

Original Issue Date

06/22/2007

Effective Date

05/07/2024

Expiration Date

09/30/2027

City

PALATINE

State

Zip

60067

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/07/2024