TIFFANY NGOC NGUYEN LA OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046011201

License Status

NOT RENEWED

Business

Title

First Name

TIFFANY

Middle

NGOC NGUYEN

Last Name

Business Name

TIFFANY NGOC NGUYEN LA OD

Original Issue Date

06/29/2018

Effective Date

06/29/2018

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60616

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021