NHUNG T N PHAN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019026894

License Status

NOT RENEWED

Business

First Name

NHUNG

Middle

T N

Last Name

PHAN

Business Name

NHUNG T N PHAN

Original Issue Date

10/04/2005

Effective Date

09/30/2004

Expiration Date

09/30/2006

City

FLORISSANT

State

Zip

63033

Ever Disciplined

LastModifiedDate

11/08/2006