KENNETH TANTHANH NGUYEN DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036143833

License Status

NOT RENEWED

Business

Title

First Name

KENNETH

Middle

TANTHANH

Last Name

NGUYEN

Business Name

KENNETH TANTHANH NGUYEN DO

Original Issue Date

07/13/2017

Effective Date

08/10/2020

Expiration Date

07/31/2023

City

CHICAGO

State

Zip

60634

Ever Disciplined

LastModifiedDate

11/30/2023