HALLEEN KIM PHU - Optometrist License in Illinois | # 047935810

HALLEEN KIM PHU

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047935810

License Status

CANCELLED

Business

N

First Name

HALLEEN

Middle

KIM

Last Name

PHU

Business Name

HALLEEN KIM PHU

Original Issue Date

10/23/2009

Effective Date

10/23/2009

Expiration Date

03/31/2010

State

IL

Ever Disciplined

N

LastModifiedDate

05/04/2010