JASON N KWON OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047930967

License Status

CANCELLED

Business

First Name

JASON

Middle

Last Name

KWON

Suffix

Business Name

JASON N KWON OD

Original Issue Date

03/10/2005

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

ROUND LAKE BEACH

State

Zip

60073

County

LAKE

Ever Disciplined

LastModifiedDate

05/04/2010