Tam Pham

Controlled Substance Registration - Dentist

Indiana  12010226B   Active

This Indiana license is held by Tam Pham. The license is currently active. It was granted on 02/28/2000 and expired on 03/01/2016

LICENSE DETAILS

  • License Number: 12010226B
  • Category: CSR-Dentist
  • Status: Active
  • Date Granted: 02/28/2000 (over 26 years ago)
  • Expiry Date: 03/01/2016 (over 10 years ago)

LOCATIONS

A Address

8 Hill Avenue, Knightstown IN 46148-1228