VIVIAN PHUONG NGUYEN Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019025837

License Status

ACTIVE

Business

First Name

VIVIAN

Middle

PHUONG

Last Name

NGUYEN

Business Name

VIVIAN PHUONG NGUYEN

Original Issue Date

06/05/2002

Effective Date

09/09/2024

Expiration Date

09/30/2027

City

SKOKIE

State

Zip

60077

County

COOK

Ever Disciplined

LastModifiedDate

09/09/2024