TRAC XUAN NGHIEM MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****33

License Status

ACTIVE

Business

First Name

TRAC

Middle

XUAN

Last Name

NGHIEM

Suffix

Business Name

TRAC XUAN NGHIEM MD

Original Issue Date

06/04/2001

Effective Date

05/09/2023

Expiration Date

07/31/2026

City

MAYWOOD

State

Zip

60153

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2023