KENNETH TANTHANH NGUYEN DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****84

License Status

NOT RENEWED

Business

Title

First Name

KENNETH

Middle

TANTHANH

Last Name

NGUYEN

Business Name

KENNETH TANTHANH NGUYEN DO

Original Issue Date

07/13/2017

Effective Date

07/13/2017

Expiration Date

09/30/2020

City

ARLINGTON

State

Zip

76001

County

TEXAS

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021