KELLY TRUONG - Optometrist License in Illinois | # 047935103

KELLY TRUONG

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047935103

License Status

CANCELLED

Business

N

First Name

KELLY

Last Name

TRUONG

Business Name

KELLY TRUONG

Original Issue Date

02/25/2009

Effective Date

02/25/2009

Expiration Date

03/31/2010

State

IL

Ever Disciplined

N

LastModifiedDate

05/04/2010