PHITHAO JACLYN NGUYEN DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125043088

License Status

EXPIRED

Business

First Name

PHITHAO

Middle

JACLYN

Last Name

NGUYEN

Suffix

Business Name

PHITHAO JACLYN NGUYEN DO

Original Issue Date

07/01/2001

Effective Date

07/01/2001

Expiration Date

06/30/2004

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Specialty/Qualifier

Gastroenterology

Ever Disciplined

LastModifiedDate

09/22/2006