License holder summary

THUC P PHUNG QUOC NGUYEN is a Board Of Medicine licensed to practice in Idaho. The address on file for THUC P PHUNG QUOC NGUYEN is 4830 Fauntleroy Way SW Apt 101 Seattle WA 98116. This licensed professional license is not current. The license was granted 08/26/2002 and expired on 06/30/2003.

Idaho

Division of Occupational and Professional Licenses

THUC P PHUNG QUOC NGUYEN
Board Of Medicine
License number
M-8582
Date granted
08/26/2002
Date expires
06/30/2003
Class
Board Of Medicine
Status
Canceled
Address
4830 Fauntleroy Way SW Apt 101 Seattle WA 98116
idaholicensing.com
ID 48352121
LAST UPDATED 2024-02-28 17:18:55 UTC

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