TRI VAN NGUYEN Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****27

License Status

CANCELLED

Business

First Name

TRI VAN

Last Name

NGUYEN

Business Name

TRI VAN NGUYEN

Original Issue Date

04/05/2006

Effective Date

04/05/2006

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/17/2008