CAMTHU MINH PHAM OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047927711

License Status

NOT RENEWED

Business

First Name

CAMTHU

Middle

MINH

Last Name

PHAM

Suffix

Business Name

CAMTHU MINH PHAM OD

Original Issue Date

02/02/2001

Effective Date

04/15/2002

Expiration Date

03/31/2002

City

CHICAGO

State

Zip

60622

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2005