VAN D PHAM OD Optometrist License verification

Business Entity

ACTIVE

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****93

License Status

ACTIVE

Business

First Name

VAN D

Last Name

PHAM

Suffix

Business Name

VAN D PHAM OD

Original Issue Date

01/06/1997

Effective Date

03/09/2026

Expiration Date

03/31/2028

City

CHICAGO

State

Zip

60640

County

COOK

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

03/09/2026