VAN NGUYEN SPROUL DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001113

License Status

NOT RENEWED

Business

First Name

VAN

Middle

NGUYEN

Last Name

SPROUL

Suffix

DDS

Business Name

VAN NGUYEN SPROUL DDS

Original Issue Date

08/11/1998

Effective Date

08/11/1998

Expiration Date

06/30/1999

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

General Practice Residency

Ever Disciplined

LastModifiedDate

10/12/2005