LONG TIEN NGUYEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****56

License Status

NOT RENEWED

Business

First Name

LONG

Middle

TIEN

Last Name

NGUYEN

Suffix

Business Name

LONG TIEN NGUYEN MD

Original Issue Date

07/12/1989

Effective Date

07/12/1989

Expiration Date

07/31/1990

City

MAYWOOD

State

Zip

60153

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006