PATRICK KWONG OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047930661

License Status

NOT RENEWED

Business

First Name

PATRICK

Last Name

KWONG

Suffix

Business Name

PATRICK KWONG OD

Original Issue Date

10/06/2004

Effective Date

10/06/2004

Expiration Date

03/31/2006

City

DIXON

State

Zip

61021

County

LEE

Ever Disciplined

LastModifiedDate

05/11/2006