NGA N PHAN O.D. Optometrist License verification

Business Entity

ACTIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046010008

License Status

ACTIVE

Business

Title

O.D.

First Name

NGA

Middle

Last Name

PHAN

Business Name

NGA N PHAN O.D.

Original Issue Date

07/09/2007

Effective Date

03/20/2026

Expiration Date

03/31/2028

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

03/20/2026