MARY KIM-TIEN NGUYEN Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****60

License Status

NOT RENEWED

Business

First Name

MARY

Middle

KIM-TIEN

Last Name

NGUYEN

Business Name

MARY KIM-TIEN NGUYEN

Original Issue Date

05/29/2009

Effective Date

09/22/2020

Expiration Date

07/31/2023

City

AURORA

State

Zip

60506

County

KENDALL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023