CRYSTAL S WONG OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047930482

License Status

NOT RENEWED

Business

First Name

CRYSTAL

Middle

Last Name

WONG

Suffix

Business Name

CRYSTAL S WONG OD

Original Issue Date

08/13/2004

Effective Date

08/13/2004

Expiration Date

03/31/2006

City

BLOOMINGDALE

State

Zip

60108

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/11/2006