MARY KIM-TIEN NGUYEN Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125051487

License Status

EXPIRED

Business

First Name

MARY

Middle

KIM-TIEN

Last Name

NGUYEN

Business Name

MARY KIM-TIEN NGUYEN

Original Issue Date

06/19/2006

Effective Date

06/19/2006

Expiration Date

06/18/2009

City

BERWYN

State

Zip

60402

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

07/15/2009