ELIZABETH MARY PHAM DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019028667

License Status

NOT RENEWED

Business

Title

DMD

First Name

ELIZABETH

Middle

MARY

Last Name

PHAM

Business Name

ELIZABETH MARY PHAM DMD

Original Issue Date

06/15/2011

Effective Date

06/25/2012

Expiration Date

09/30/2015

City

HURRICANE

State

Zip

25526

County

WEST VIRGINIA

Ever Disciplined

LastModifiedDate

02/08/2016