KHANH T NGUYEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****80

License Status

NOT RENEWED

Business

First Name

KHANH

Middle

Last Name

NGUYEN

Suffix

Business Name

KHANH T NGUYEN MD

Original Issue Date

06/02/2008

Effective Date

06/02/2008

Expiration Date

07/31/2011

City

PEORIA

State

Zip

61615

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011