THU THI XUAN NGUYEN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003605

License Status

NOT RENEWED

Business

First Name

THU

Middle

THI XUAN

Last Name

NGUYEN

Business Name

THU THI XUAN NGUYEN

Original Issue Date

09/24/2009

Effective Date

09/24/2009

Expiration Date

03/01/2010

City

GLENDALE HEIGHTS

State

Zip

60139

County

DUPAGE

Ever Disciplined

LastModifiedDate

04/01/2010