JASON N KWON OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047930451

License Status

CANCELLED

Business

First Name

JASON

Middle

Last Name

KWON

Suffix

Business Name

JASON N KWON OD

Original Issue Date

08/13/2004

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

LINDENHURST

State

Zip

60046

County

LAKE

Ever Disciplined

LastModifiedDate

05/04/2010