LONG TIEN NGUYEN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125017526

License Status

EXPIRED

Business

First Name

LONG

Middle

TIEN

Last Name

NGUYEN

Suffix

Business Name

LONG TIEN NGUYEN MD

Original Issue Date

07/17/1984

Effective Date

07/17/1984

Expiration Date

07/01/1986

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/22/2006