QUAN NGUYEN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019022770

License Status

NOT RENEWED

Business

First Name

QUAN

Last Name

NGUYEN

Suffix

DDS

Business Name

QUAN NGUYEN DDS

Original Issue Date

02/10/1992

Effective Date

02/10/1992

Expiration Date

09/30/1994

City

ROCKFORD

State

Zip

61102

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/12/2005