CHARLY THUAN NGUYEN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****47

License Status

ACTIVE

Business

First Name

CHARLY

Middle

THUAN

Last Name

NGUYEN

Suffix

Business Name

CHARLY THUAN NGUYEN MD

Original Issue Date

02/02/2000

Effective Date

04/18/2023

Expiration Date

07/31/2026

City

MATTOON

State

Zip

61938

County

COLES

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/18/2023