License holder summary

Tam Pham is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Tam Pham is 8 Hill Avenue, Knightstown IN 46148-1228. This licensed professional license is current. The license was granted 02/28/2000 and expired on 03/01/2016.

Indiana

Professional Licensing Agency

Tam Pham
Controlled Substance Registration - Dentist
License number
12010226B
Date granted
02/28/2000
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
8 Hill Avenue, Knightstown IN 46148-1228
indianalicensing.org
ID 5106067
LAST UPDATED 2024-02-26 22:55:11 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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