TAN M NGUYEN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****38

License Status

NOT RENEWED

Business

First Name

TAN M

Last Name

NGUYEN

Suffix

DDS

Business Name

TAN M NGUYEN DDS

Original Issue Date

10/24/1991

Effective Date

10/24/1991

Expiration Date

09/30/1992

City

CHICAGO

State

Zip

60618

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005