HOANGLONG TIEN NGUYEN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125059964

License Status

EXPIRED

Business

First Name

HOANGLONG

Middle

TIEN

Last Name

NGUYEN

Suffix

Business Name

HOANGLONG TIEN NGUYEN MD

Original Issue Date

06/27/2011

Effective Date

06/27/2011

Expiration Date

06/26/2014

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

03/13/2015