PHU DINH VU MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****39

License Status

NOT RENEWED

Business

Title

First Name

PHU

Middle

DINH

Last Name

Business Name

PHU DINH VU MD

Original Issue Date

09/02/2003

Effective Date

07/21/2014

Expiration Date

07/31/2017

City

O'FALLON

State

Zip

62269

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017