SANDRA T PHAN - Optometrist License in Illinois | # 046010174

SANDRA T PHAN

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046010174

License Status

NOT RENEWED

Business

N

First Name

SANDRA

Middle

T

Last Name

PHAN

Business Name

SANDRA T PHAN

Original Issue Date

10/16/2008

Effective Date

03/25/2010

Expiration Date

03/31/2012

State

IL

Ever Disciplined

N

LastModifiedDate

05/16/2012