THANH PHUONG THI NGUYEN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125085663

License Status

ACTIVE

Business

Title

First Name

THANH PHUONG

Middle

THI

Last Name

NGUYEN

Business Name

THANH PHUONG THI NGUYEN MD

Original Issue Date

06/19/2025

Effective Date

06/19/2025

Expiration Date

06/18/2026

City

PEORIA

State

Zip

61605

County

PEORIA

Specialty/Qualifier

Transitional Year

Ever Disciplined

LastModifiedDate

05/11/2025