VAN THANH NGUYEN DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130000418

License Status

EXPIRED

Business

First Name

VAN

Middle

THANH

Last Name

NGUYEN

Suffix

Business Name

VAN THANH NGUYEN DO

Original Issue Date

08/19/1998

Effective Date

08/19/1998

Expiration Date

06/30/2000

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Specialty/Qualifier

Obstetrics & Gynecology

Ever Disciplined

LastModifiedDate

09/25/2006