DANIEL H PHAM OD Optometrist License verification

Business Entity

ACTIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046008703

License Status

ACTIVE

Business

First Name

DANIEL H

Last Name

PHAM

Suffix

Business Name

DANIEL H PHAM OD

Original Issue Date

01/26/1994

Effective Date

03/10/2026

Expiration Date

03/31/2028

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

03/10/2026