License holder summary

Trinh Thu Pham is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Trinh Thu Pham is Wadas Dental Center, 4614 Baring Avenue, East Chicago IN 46312-3211. This licensed professional license is not current. The license was granted 03/08/2000 and expired on 03/01/2002.

Indiana

Professional Licensing Agency

Trinh Thu Pham
Controlled Substance Registration - Dentist
License number
12010227C
Date granted
03/08/2000
Date expires
03/01/2002
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
Wadas Dental Center, 4614 Baring Avenue, East Chicago IN 46312-3211
indianalicensing.org
ID 5090487
LAST UPDATED 2024-03-01 15:49:24 UTC

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