MAI NGOC XUAN NGUYEN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125057948

License Status

CANCELLED

Business

Title

First Name

MAI

Middle

NGOC XUAN

Last Name

NGUYEN

Business Name

MAI NGOC XUAN NGUYEN MD

Original Issue Date

06/15/2010

Effective Date

06/15/2010

Expiration Date

06/14/2013

City

CHICAGO

State

Zip

60608

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

05/20/2010