MAI PHUONG NGUYEN Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036156166

License Status

NOT RENEWED

Business

First Name

MAI

Middle

PHUONG

Last Name

NGUYEN

Business Name

MAI PHUONG NGUYEN

Original Issue Date

03/19/2021

Effective Date

03/19/2021

Expiration Date

07/31/2023

City

RESTON

State

Zip

20190

Ever Disciplined

LastModifiedDate

11/30/2023