LONG TIEN NGUYEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036072351

License Status

NOT RENEWED

Business

First Name

LONG

Middle

TIEN

Last Name

NGUYEN

Suffix

Business Name

LONG TIEN NGUYEN MD

Original Issue Date

02/19/1986

Effective Date

02/19/1986

Expiration Date

07/31/1990

City

FOREST PARK

State

Zip

60130

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006