TRUNG T NGUYEN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****10

License Status

NOT RENEWED

Business

First Name

TRUNG T

Last Name

NGUYEN

Suffix

DDS

Business Name

TRUNG T NGUYEN DDS

Original Issue Date

11/07/1996

Effective Date

11/07/1996

Expiration Date

09/30/1998

City

CHICAGO

State

Zip

60618

County

COOK

Controlled Substance Schedule

II III

Ever Disciplined

LastModifiedDate

10/17/2005