CHARLY THUAN NGUYEN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036101896

License Status

ACTIVE

Business

First Name

CHARLY

Middle

THUAN

Last Name

NGUYEN

Suffix

Business Name

CHARLY THUAN NGUYEN MD

Original Issue Date

02/02/2000

Effective Date

04/18/2023

Expiration Date

07/31/2026

City

MATTOON

State

Zip

61938

County

COLES

Ever Disciplined

LastModifiedDate

04/18/2023