License holder summary

QUYNAM PHUOC NGUYEN is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for QUYNAM PHUOC NGUYEN is TERRE HAUTE MEDICAL CLINIC, 3903 S SEVENTH ST SUITE 2 A, TERRE HAUTE IN 47802. This licensed professional license is not current. The license was granted 02/24/1994 and expired on 06/30/1995.

Indiana

Professional Licensing Agency

QUYNAM PHUOC NGUYEN
Controlled Substance Registration - Physician
License number
01042264B
Date granted
02/24/1994
Date expires
06/30/1995
Class
Controlled Substance Registration - Physician
Status
Expired
Address
TERRE HAUTE MEDICAL CLINIC, 3903 S SEVENTH ST SUITE 2 A, TERRE HAUTE IN 47802
indianalicensing.org
ID 5926293
LAST UPDATED 2024-03-11 00:16:12 UTC

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