BAO QUOC PHAM OD Optometrist License verification

Business Entity

ACTIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046010576

License Status

ACTIVE

Business

First Name

BAO

Middle

QUOC

Last Name

PHAM

Suffix

Business Name

BAO QUOC PHAM OD

Original Issue Date

07/02/2012

Effective Date

03/12/2024

Expiration Date

03/31/2026

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

01/08/2026