MIREILLE DIEM-MY TRUONG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****25

License Status

NOT RENEWED

Business

Title

First Name

MIREILLE

Middle

DIEM-MY

Last Name

TRUONG

Business Name

MIREILLE DIEM-MY TRUONG MD

Original Issue Date

08/06/2012

Effective Date

08/06/2012

Expiration Date

07/31/2014

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014