NGOC NGUYEN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****86

License Status

NOT RENEWED

Business

First Name

NGOC

Last Name

NGUYEN

Business Name

NGOC NGUYEN

Original Issue Date

02/09/2021

Effective Date

01/25/2022

Expiration Date

03/01/2024

City

OAK LAWN

State

Zip

60453

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025