TIEN M HA NGOC DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****45

License Status

NOT RENEWED

Business

Title

DMD

First Name

TIEN

Middle

Last Name

HA NGOC

Business Name

TIEN M HA NGOC DMD

Original Issue Date

07/31/2014

Effective Date

07/31/2014

Expiration Date

09/30/2015

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016