MICKEY NGUYEN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125077016

License Status

EXPIRED

Business

Title

First Name

MICKEY

Last Name

NGUYEN

Business Name

MICKEY NGUYEN MD

Original Issue Date

07/01/2020

Effective Date

07/01/2020

Expiration Date

06/30/2022

City

CHICAGO

State

Zip

60649

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

10/11/2022