PHIVU CONG NGUYEN DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125072648

License Status

CANCELLED

Business

Title

First Name

PHIVU

Middle

CONG

Last Name

NGUYEN

Business Name

PHIVU CONG NGUYEN DO

Original Issue Date

07/01/2018

Effective Date

07/01/2018

Expiration Date

06/30/2021

City

MIAMI

State

Zip

33125

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

03/29/2018