KHOA DANG NGUYEN Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****21

License Status

ACTIVE

Business

First Name

KHOA

Middle

DANG

Last Name

NGUYEN

Business Name

KHOA DANG NGUYEN

Original Issue Date

06/01/2022

Effective Date

03/18/2026

Expiration Date

05/31/2028

City

CHAMPAIGN

State

Zip

61820

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/18/2026