TRUYEN P NGUYEN DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****94

License Status

ACTIVE

Business

First Name

TRUYEN P

Last Name

NGUYEN

Suffix

DDS

Business Name

TRUYEN P NGUYEN DDS

Original Issue Date

03/12/1996

Effective Date

06/20/2024

Expiration Date

09/30/2027

City

DEKALB

State

Zip

60115

County

DEKALB

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/20/2024