NGUYEN Q HA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****64

License Status

NOT RENEWED

Business

Title

First Name

NGUYEN

Middle

Last Name

Business Name

NGUYEN Q HA MD

Original Issue Date

08/05/2019

Effective Date

08/05/2019

Expiration Date

09/30/2020

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021