GINA CUC PHAM
Dentistry - Anesthesia Permit - Restricted I
Pennsylvania DP000543 Inactive
This Pennsylvania license was held by GINA CUC PHAM. The license is no longer active. It was granted on 10/16/2002 and expired on 06/30/2005
LICENSE DETAILS
- License Number: DP000543
- Category: Anesthesia Permit-Restricted I
- Status: Inactive
- Date Granted: 10/16/2002 (over 22 years ago)
- Expiry Date: 06/30/2005 (almost 20 years ago)
LOCATIONS
A Address
Vienna VA 22181