QUAN NGUYEN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****48

License Status

NOT RENEWED

Business

First Name

QUAN

Last Name

NGUYEN

Suffix

DDS

Business Name

QUAN NGUYEN DDS

Original Issue Date

09/16/1992

Effective Date

09/16/1992

Expiration Date

09/30/1994

City

MUNDELEIN

State

Zip

60060

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005