KEITH KHANH DUC NGUYEN - Dentist License in Illinois | # 175000036

KEITH KHANH DUC NGUYEN

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY PERMIT FOR VISITING DENTIST FOR FREE DENTAL CARE

License Number

175000036

License Status

EXPIRED

Business

N

First Name

KEITH

Middle

KHANH DUC

Last Name

NGUYEN

Business Name

KEITH KHANH DUC NGUYEN

Original Issue Date

05/10/2024

Effective Date

05/10/2024

Expiration Date

11/10/2024

State

IL

Ever Disciplined

N

LastModifiedDate

10/29/2025