KHANH THI NHA VU MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****09

License Status

NOT RENEWED

Business

Title

First Name

KHANH

Middle

THI NHA

Last Name

Business Name

KHANH THI NHA VU MD

Original Issue Date

02/17/2012

Effective Date

02/17/2012

Expiration Date

07/31/2014

City

SPRINGFIELD

State

Zip

62781

County

SANGAMON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

11/17/2014