PHUONG N NGUYEN OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047933500

License Status

NOT RENEWED

Business

First Name

PHUONG

Middle

Last Name

NGUYEN

Suffix

Business Name

PHUONG N NGUYEN OD

Original Issue Date

10/24/2007

Effective Date

10/24/2007

Expiration Date

03/31/2008

City

BOLINGBROOK

State

Zip

60440

County

WILL

Ever Disciplined

LastModifiedDate

05/02/2008