DONNA TRANG NGUYEN DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****63

License Status

NOT RENEWED

Business

First Name

DONNA TRANG

Last Name

NGUYEN

Suffix

DMD

Business Name

DONNA TRANG NGUYEN DMD

Original Issue Date

08/08/1997

Effective Date

08/08/1997

Expiration Date

09/30/1998

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

10/13/2005