LONG NGOC NGUYEN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125053525

License Status

EXPIRED

Business

Title

First Name

LONG

Middle

NGOC

Last Name

NGUYEN

Business Name

LONG NGOC NGUYEN MD

Original Issue Date

06/26/2010

Effective Date

06/26/2010

Expiration Date

06/25/2012

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

08/29/2012