CRYSTAL THAO NGUYEN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****06

License Status

ACTIVE

Business

Title

First Name

CRYSTAL

Middle

THAO

Last Name

NGUYEN

Business Name

CRYSTAL THAO NGUYEN MD

Original Issue Date

06/14/2023

Effective Date

06/14/2023

Expiration Date

07/31/2026

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/14/2023