JESSICA MYTRANG NGUYEN DMD - Dentist License in Illinois | # 019029407

JESSICA MYTRANG NGUYEN DMD

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019029407

License Status

NOT RENEWED

Business

N

Title

DMD

First Name

JESSICA

Middle

MYTRANG

Last Name

NGUYEN

Business Name

JESSICA MYTRANG NGUYEN DMD

Original Issue Date

06/05/2013

Effective Date

06/05/2013

Expiration Date

09/30/2015

State

IL

Ever Disciplined

N

LastModifiedDate

02/08/2016