KIM THANH VU NGUYEN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125073987

License Status

CANCELLED

Business

Title

First Name

KIM THANH

Middle

Last Name

NGUYEN

Business Name

KIM THANH VU NGUYEN MD

Original Issue Date

07/01/2019

Effective Date

07/01/2019

Expiration Date

06/30/2022

City

CHICAGO

State

Zip

60622

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

05/14/2019