Tien D Phan
ActiveIllinois license 019033488
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 019033488
- Status
- Active
- First issued
- December 29, 2021
- Expires
- September 30, 2027
- License holder
- Tien D Phan
- Entity type
- Individual
Classifications
- Licensed Dentist (Dental) Dental
More from the license record
- Current term began
- 10/01/2024
Contact
Irving, TX 75063