PHUONG THI NGUYEN DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019028540

License Status

NOT RENEWED

Business

Title

DMD

First Name

PHUONG

Middle

THI

Last Name

NGUYEN

Business Name

PHUONG THI NGUYEN DMD

Original Issue Date

12/13/2010

Effective Date

08/04/2015

Expiration Date

09/30/2018

City

HUNTINGTON BEACH

State

Zip

92647

Ever Disciplined

LastModifiedDate

10/31/2018