ANTHONY PHAN NGUYEN DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125058267

License Status

EXPIRED

Business

First Name

ANTHONY

Middle

PHAN

Last Name

NGUYEN

Suffix

Business Name

ANTHONY PHAN NGUYEN DO

Original Issue Date

06/21/2010

Effective Date

06/21/2010

Expiration Date

06/20/2013

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

10/07/2013