DAVID PHAN OD Optometrist License verification

Business Entity

ACTIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046011205

License Status

ACTIVE

Business

Title

First Name

DAVID

Last Name

PHAN

Business Name

DAVID PHAN OD

Original Issue Date

07/06/2018

Effective Date

02/01/2024

Expiration Date

03/31/2026

City

CHICAGO

State

Zip

60617

County

COOK

Ever Disciplined

LastModifiedDate

01/08/2026