NATHAN PHUC NGUYEN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125049674

License Status

EXPIRED

Business

First Name

NATHAN

Middle

PHUC

Last Name

NGUYEN

Suffix

Business Name

NATHAN PHUC NGUYEN MD

Original Issue Date

07/01/2005

Effective Date

07/01/2005

Expiration Date

06/30/2008

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

07/31/2008