LISA PHUONG-ANH NGUYEN DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125072516

License Status

CANCELLED

Business

Title

First Name

LISA

Middle

PHUONG-ANH

Last Name

NGUYEN

Business Name

LISA PHUONG-ANH NGUYEN DO

Original Issue Date

07/01/2018

Effective Date

07/01/2018

Expiration Date

06/30/2021

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

05/29/2018