DZUNG H NGUYEN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****73

License Status

NOT RENEWED

Business

First Name

DZUNG

Middle

Last Name

NGUYEN

Business Name

DZUNG H NGUYEN

Original Issue Date

01/05/2007

Effective Date

06/09/2009

Expiration Date

09/30/2012

City

ANTIOCH

State

Zip

60002

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012