DAT MANH NGUYEN MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****10

License Status

INACTIVE

Business

First Name

DAT MANH

Last Name

NGUYEN

Suffix

Business Name

DAT MANH NGUYEN MD

Original Issue Date

01/01/1997

Expiration Date

09/01/1982

City

HINES

State

Zip

60141

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006