THAI THANH NGUYEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****08

License Status

NOT RENEWED

Business

First Name

THAI

Middle

THANH

Last Name

NGUYEN

Suffix

Business Name

THAI THANH NGUYEN MD

Original Issue Date

09/30/2004

Effective Date

09/30/2004

Expiration Date

07/31/2005

City

JOLIET

State

Zip

60432

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020