TAMMY NGUYEN OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047929174

License Status

CANCELLED

Business

First Name

TAMMY

Last Name

NGUYEN

Suffix

Business Name

TAMMY NGUYEN OD

Original Issue Date

11/26/2002

Effective Date

03/03/2004

Expiration Date

03/31/2004

City

CHICAGO

State

Zip

60607

County

COOK

Ever Disciplined

LastModifiedDate

09/01/2005