SUSAN PARK TSENG OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047933177

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

PARK

Last Name

TSENG

Suffix

Business Name

SUSAN PARK TSENG OD

Original Issue Date

07/18/2007

Effective Date

07/18/2007

Expiration Date

03/31/2008

City

RIVERSIDE

State

Zip

60546

County

COOK

Ever Disciplined

LastModifiedDate

05/02/2008