MARIE LY TRUONG DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125054574

License Status

CANCELLED

Business

Title

First Name

MARIE

Middle

Last Name

TRUONG

Business Name

MARIE LY TRUONG DO

Original Issue Date

06/24/2008

Effective Date

06/24/2008

Expiration Date

06/23/2011

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

05/28/2008