TIEN M HA NGOC DMD - Dentist License in Illinois | # 019029997

TIEN M HA NGOC DMD

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019029997

License Status

NOT RENEWED

Business

N

Title

DMD

First Name

TIEN

Middle

M

Last Name

HA NGOC

Business Name

TIEN M HA NGOC DMD

Original Issue Date

07/31/2014

Effective Date

07/22/2015

Expiration Date

09/30/2018

State

IL

Ever Disciplined

N

LastModifiedDate

10/31/2018