PANHAVUT CHIM DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****26

License Status

ACTIVE

Business

Title

DMD

First Name

PANHAVUT

Last Name

CHIM

Business Name

PANHAVUT CHIM DMD

Original Issue Date

07/18/2017

Effective Date

05/31/2024

Expiration Date

09/30/2027

City

WESTMONT

State

Zip

60559

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/31/2024