CONNIE NGUYEN Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047931432

License Status

CANCELLED

Business

First Name

CONNIE

Last Name

NGUYEN

Business Name

CONNIE NGUYEN

Original Issue Date

08/25/2005

Effective Date

08/25/2005

Expiration Date

03/31/2006

City

SKOKIE

State

Zip

60077

County

COOK

Ever Disciplined

LastModifiedDate

01/18/2006