SUSAN PARK TSENG OD - Optometrist License in Illinois | # 047935414

SUSAN PARK TSENG OD

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047935414

License Status

CANCELLED

Business

N

First Name

SUSAN

Middle

PARK

Last Name

TSENG

Suffix

OD

Business Name

SUSAN PARK TSENG OD

Original Issue Date

06/16/2009

Effective Date

06/16/2009

Expiration Date

03/31/2010

State

IL

Ever Disciplined

N

LastModifiedDate

05/04/2010