JIMMY DIEP NGUYEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****17

License Status

NOT RENEWED

Business

Title

First Name

JIMMY

Middle

DIEP

Last Name

NGUYEN

Business Name

JIMMY DIEP NGUYEN MD

Original Issue Date

08/28/2013

Effective Date

07/30/2014

Expiration Date

07/31/2017

City

CRYSTAL LAKE

State

Zip

60014

County

MCHENRY

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017