KATHY LE PHAN Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047932762

License Status

NOT RENEWED

Business

First Name

KATHY

Middle

Last Name

PHAN

Business Name

KATHY LE PHAN

Original Issue Date

01/08/2007

Effective Date

01/08/2007

Expiration Date

03/31/2008

City

WEST DUNDEE

State

Zip

60118

County

KANE

Ever Disciplined

LastModifiedDate

05/02/2008