DUNG NGOC NGUYEN OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047932534

License Status

CANCELLED

Business

First Name

DUNG

Middle

NGOC

Last Name

NGUYEN

Suffix

Business Name

DUNG NGOC NGUYEN OD

Original Issue Date

09/19/2006

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

05/04/2010