HOANG CHAU THI NGUYEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****03

License Status

NOT RENEWED

Business

Title

First Name

HOANG CHAU

Middle

THI

Last Name

NGUYEN

Business Name

HOANG CHAU THI NGUYEN MD

Original Issue Date

07/27/2012

Effective Date

06/26/2017

Expiration Date

09/30/2020

City

MOUNT VERNON

State

Zip

62864

County

JEFFERSON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021