PHUONG N NGUYEN OD - Optometrist License in Illinois | # 047935852

PHUONG N NGUYEN OD

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047935852

License Status

CANCELLED

Business

N

First Name

PHUONG

Middle

N

Last Name

NGUYEN

Suffix

OD

Business Name

PHUONG N NGUYEN OD

Original Issue Date

11/17/2009

Effective Date

11/17/2009

Expiration Date

03/31/2010

State

IL

Ever Disciplined

N

LastModifiedDate

05/04/2010