ETHAN NHON NGUYEN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125048009

License Status

EXPIRED

Business

First Name

ETHAN

Middle

NHON

Last Name

NGUYEN

Suffix

Business Name

ETHAN NHON NGUYEN MD

Original Issue Date

06/22/2004

Effective Date

06/22/2004

Expiration Date

06/21/2005

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006