KIM-PHUNG NGUYEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036147281

License Status

NOT RENEWED

Business

Title

First Name

KIM-PHUNG

Last Name

NGUYEN

Business Name

KIM-PHUNG NGUYEN MD

Original Issue Date

08/21/2018

Effective Date

08/31/2020

Expiration Date

07/31/2023

City

URBANA

State

Zip

61801

Ever Disciplined

LastModifiedDate

11/30/2023