NANG V TA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036067124

License Status

NOT RENEWED

Business

First Name

NANG

Middle

Last Name

Suffix

Business Name

NANG V TA MD

Original Issue Date

07/22/1983

Effective Date

07/22/1983

Expiration Date

07/31/1987

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

04/23/2009