HOAI P NGUYEN DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****67

License Status

NOT RENEWED

Business

First Name

HOAI P

Last Name

NGUYEN

Suffix

DMD

Business Name

HOAI P NGUYEN DMD

Original Issue Date

11/21/1996

Effective Date

11/21/1996

Expiration Date

09/30/1998

City

CARBONDALE

State

Zip

62903

County

JACKSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005