NGA N PHAN O.D. Optometrist License verification

Business Entity

ACTIVE

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****10

License Status

ACTIVE

Business

Title

O.D.

First Name

NGA

Middle

Last Name

PHAN

Business Name

NGA N PHAN O.D.

Original Issue Date

03/13/2008

Effective Date

03/20/2026

Expiration Date

03/31/2028

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

HOSPITAL/CLINIC

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

03/20/2026