THAO NGUYEN TRAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****65

License Status

NOT RENEWED

Business

First Name

THAO

Middle

NGUYEN

Last Name

TRAN

Suffix

Business Name

THAO NGUYEN TRAN MD

Original Issue Date

03/16/1999

Effective Date

03/16/1999

Expiration Date

07/31/2002

City

SYCAMORE

State

Zip

60178

County

DEKALB

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020