THUAN THI THANH NGUYEN Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****55

License Status

INACTIVE

Business

First Name

THUAN

Middle

THI THANH

Last Name

NGUYEN

Business Name

THUAN THI THANH NGUYEN

Original Issue Date

07/09/2014

Effective Date

06/19/2018

Expiration Date

12/31/2021

City

EVERGREEN PARK

State

Zip

60805

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/21/2021