THAN NGUYEN DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130001161

License Status

EXPIRED

Business

Title

First Name

THAN

Last Name

NGUYEN

Business Name

THAN NGUYEN DO

Original Issue Date

06/01/2017

Effective Date

06/01/2017

Expiration Date

06/30/2017

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Gastroenterology

Ever Disciplined

LastModifiedDate

09/19/2017