WANDA NGA-MAN LAM OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047928417

License Status

NOT RENEWED

Business

First Name

WANDA

Middle

NGA-MAN

Last Name

LAM

Suffix

Business Name

WANDA NGA-MAN LAM OD

Original Issue Date

02/01/2002

Effective Date

06/04/2004

Expiration Date

03/31/2004

City

NORTHBROOK

State

Zip

60062

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2005