ANDREA CHIYOUNG KANG OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047929246

License Status

NOT RENEWED

Business

First Name

ANDREA

Middle

CHIYOUNG

Last Name

KANG

Suffix

Business Name

ANDREA CHIYOUNG KANG OD

Original Issue Date

01/29/2003

Effective Date

06/04/2004

Expiration Date

03/31/2004

City

CHICAGO

State

Zip

60616

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2005