NGOC NGUYEN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085008047

License Status

NOT RENEWED

Business

First Name

NGOC

Last Name

NGUYEN

Business Name

NGOC NGUYEN

Original Issue Date

10/30/2020

Effective Date

01/25/2022

Expiration Date

03/01/2024

City

STERLING HEIGHTS

State

Zip

48310

Ever Disciplined

LastModifiedDate

02/05/2025