JACQUELINE NGUYEN DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****17

License Status

ACTIVE

Business

Title

DMD

First Name

JACQUELINE

Last Name

NGUYEN

Business Name

JACQUELINE NGUYEN DMD

Original Issue Date

06/30/2021

Effective Date

08/24/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60626

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/24/2024