PHITHAO JACLYN NGUYEN DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130000492

License Status

EXPIRED

Business

First Name

PHITHAO

Middle

JACLYN

Last Name

NGUYEN

Suffix

Business Name

PHITHAO JACLYN NGUYEN DO

Original Issue Date

10/23/2000

Effective Date

10/23/2000

Expiration Date

12/19/2000

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

Rheumatology

Ever Disciplined

LastModifiedDate

09/25/2006