WALLACE WING YEUI CHAN Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047926677

License Status

NOT RENEWED

Business

First Name

WALLACE WING

Middle

YEUI

Last Name

CHAN

Business Name

WALLACE WING YEUI CHAN

Original Issue Date

12/28/1999

Effective Date

03/08/2004

Expiration Date

03/31/2006

City

CHICAGO

State

Zip

60608

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2006