DANIEL H PHAM OD Optometrist License verification

Business Entity

ACTIVE

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****36

License Status

ACTIVE

Business

First Name

DANIEL H

Last Name

PHAM

Suffix

Business Name

DANIEL H PHAM OD

Original Issue Date

08/23/2000

Effective Date

03/11/2026

Expiration Date

03/31/2028

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

03/11/2026