PHAH ANH NGUYEN DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130000509

License Status

EXPIRED

Business

First Name

PHAH

Middle

ANH

Last Name

NGUYEN

Suffix

Business Name

PHAH ANH NGUYEN DO

Original Issue Date

03/01/2001

Effective Date

03/01/2001

Expiration Date

07/31/2001

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Specialty/Qualifier

Obstetrics & Gynecology

Ever Disciplined

LastModifiedDate

09/25/2006