PHITHAO JACLYN NGUYEN DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036110939

License Status

ACTIVE

Business

First Name

PHITHAO

Middle

JACLYN

Last Name

NGUYEN

Suffix

Business Name

PHITHAO JACLYN NGUYEN DO

Original Issue Date

03/04/2004

Effective Date

05/09/2023

Expiration Date

07/31/2026

City

PARK RIDGE

State

Zip

60068

County

COOK

Ever Disciplined

LastModifiedDate

05/09/2023