LISA TUNG OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047931718

License Status

CANCELLED

Business

First Name

LISA

Last Name

TUNG

Suffix

Business Name

LISA TUNG OD

Original Issue Date

02/16/2006

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

CHICAGO

State

Zip

60641

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010