SUN AE MA OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047925824

License Status

CANCELLED

Business

Title

First Name

SUN

Middle

Last Name

Business Name

SUN AE MA OD

Original Issue Date

08/18/1998

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

CHICAGO

State

Zip

60616

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010