JESSICA MYTRANG NGUYEN DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019029407

License Status

NOT RENEWED

Business

Title

DMD

First Name

JESSICA

Middle

MYTRANG

Last Name

NGUYEN

Business Name

JESSICA MYTRANG NGUYEN DMD

Original Issue Date

06/05/2013

Effective Date

06/05/2013

Expiration Date

09/30/2015

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

02/08/2016