HIEN THI-DUC NGUYEN DDS Dentist License verification

Business Entity

CANCELLED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****19

License Status

CANCELLED

Business

First Name

HIEN

Middle

THI-DUC

Last Name

NGUYEN

Suffix

DDS

Business Name

HIEN THI-DUC NGUYEN DDS

Original Issue Date

07/25/2000

Effective Date

07/25/2000

Expiration Date

09/30/2002

City

CHICAGO RIDGE

State

Zip

60415

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005