NANCY MONG OANH NGO Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****96

License Status

NOT RENEWED

Business

First Name

NANCY

Middle

MONG OANH

Last Name

NGO

Business Name

NANCY MONG OANH NGO

Original Issue Date

04/17/2009

Effective Date

08/13/2012

Expiration Date

09/30/2015

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016