LISA TUNG OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047932541

License Status

NOT RENEWED

Business

First Name

LISA

Last Name

TUNG

Suffix

Business Name

LISA TUNG OD

Original Issue Date

09/22/2006

Effective Date

09/22/2006

Expiration Date

03/31/2008

City

ADDISON

State

Zip

60101

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/02/2008