KATHY NGUYEN

Business Entity
ACTIVE

Dentist

LICENSED DENTIST CONTROLLED SUBSTANCE

31*****18

ACTIVE

N

KATHY

NGUYEN

KATHY NGUYEN

04/19/2023

08/04/2024

09/30/2027

GRAYSLAKE

IL

60030

LAKE

PRACTITIONER

II III IV V

N

08/04/2024