KEITH KHANH DUC NGUYEN Dentist License verification

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY PERMIT FOR VISITING DENTIST FOR FREE DENTAL CARE

License Number

175000036

License Status

EXPIRED

Business

First Name

KEITH

Middle

KHANH DUC

Last Name

NGUYEN

Business Name

KEITH KHANH DUC NGUYEN

Original Issue Date

05/10/2024

Effective Date

05/10/2024

Expiration Date

11/10/2024

City

CHICAGO

State

Zip

60607

County

COOK

Ever Disciplined

LastModifiedDate

10/29/2025