KHANH P NGUYEN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****20

License Status

NOT RENEWED

Business

First Name

KHANH

Middle

Last Name

NGUYEN

Suffix

DDS

Business Name

KHANH P NGUYEN DDS

Original Issue Date

09/26/2005

Effective Date

10/18/2005

Expiration Date

09/30/2006

City

CICERO

State

Zip

60804

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/08/2006