SUSAN PARK TSENG OD - Optometrist License in Illinois | # 047934737

SUSAN PARK TSENG OD

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047934737

License Status

CANCELLED

Business

N

First Name

SUSAN

Middle

PARK

Last Name

TSENG

Suffix

OD

Business Name

SUSAN PARK TSENG OD

Original Issue Date

10/09/2008

Effective Date

10/09/2008

Expiration Date

03/31/2010

State

IL

Ever Disciplined

N

LastModifiedDate

05/04/2010