BAO QUOC PHAM OD Optometrist License verification

Business Entity

ACTIVE

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****91

License Status

ACTIVE

Business

First Name

BAO

Middle

QUOC

Last Name

PHAM

Suffix

Business Name

BAO QUOC PHAM OD

Original Issue Date

05/17/2022

Effective Date

03/12/2024

Expiration Date

03/31/2026

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

01/08/2026