THAO NGUYEN TRAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****64

License Status

ACTIVE

Business

First Name

THAO

Middle

NGUYEN

Last Name

TRAN

Suffix

Business Name

THAO NGUYEN TRAN MD

Original Issue Date

03/16/1999

Effective Date

07/17/2023

Expiration Date

07/31/2026

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/17/2023