PENN MY TRAN OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046009622

License Status

NOT RENEWED

Business

First Name

PENN

Middle

Last Name

TRAN

Suffix

Business Name

PENN MY TRAN OD

Original Issue Date

04/05/2004

Effective Date

01/18/2006

Expiration Date

03/31/2008

City

ARLINGTON HEIGHTS

State

Zip

60004

County

COOK

Ever Disciplined

LastModifiedDate

05/02/2008