JEANNIE L WANG OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047932490

License Status

CANCELLED

Business

First Name

JEANNIE

Middle

Last Name

WANG

Suffix

Business Name

JEANNIE L WANG OD

Original Issue Date

08/30/2006

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

OAK PARK

State

Zip

60301

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010