DOMINIQUE LUONG VINH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****47

License Status

NOT RENEWED

Business

First Name

DOMINIQUE

Middle

LUONG

Last Name

VINH

Suffix

Business Name

DOMINIQUE LUONG VINH MD

Original Issue Date

10/06/2005

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

ELK GROVE VILLAGE

State

Zip

60007

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011