KHA MANH NGUYEN DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****02

License Status

ACTIVE

Business

Title

DMD

First Name

KHA

Middle

MANH

Last Name

NGUYEN

Business Name

KHA MANH NGUYEN DMD

Original Issue Date

03/29/2018

Effective Date

06/01/2024

Expiration Date

09/30/2027

City

GLENDALE HEIGHTS

State

Zip

60139

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/01/2024