VAN D PHAM OD - Optometrist License in Illinois | # 047925673

VAN D PHAM OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047925673

License Status

NOT RENEWED

Business

N

First Name

VAN D

Last Name

PHAM

Suffix

OD

Business Name

VAN D PHAM OD

Original Issue Date

05/26/1998

Effective Date

04/15/2002

Expiration Date

03/31/2002

State

IL

Ever Disciplined

N

LastModifiedDate

09/11/2005