License holder summary

GINA CUC PHAM is a Dentistry - Anesthesia Permit - Restricted I licensed to practice in Pennsylvania. The address on file for GINA CUC PHAM is Vienna VA 22181. This licensed professional license is not current. The license was granted 10/16/2002 and expired on 06/30/2005.

Pennsylvania

Department of State

GINA CUC PHAM
Dentistry - Anesthesia Permit - Restricted I
License number
DP000543
Date granted
10/16/2002
Date expires
06/30/2005
Class
Dentistry - Anesthesia Permit - Restricted I
Status
Inactive
Address
Vienna VA 22181
palicensing.org
ID 16534110
LAST UPDATED 2024-05-13 17:26:14 UTC

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