DIEP DENISE NGOC TRAN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125060654

License Status

EXPIRED

Business

Title

First Name

DIEP DENISE

Middle

NGOC

Last Name

TRAN

Business Name

DIEP DENISE NGOC TRAN MD

Original Issue Date

07/01/2011

Effective Date

07/01/2011

Expiration Date

06/30/2014

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

03/13/2015