KATHY LE PHAN Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047933705

License Status

CANCELLED

Business

First Name

KATHY

Middle

Last Name

PHAN

Business Name

KATHY LE PHAN

Original Issue Date

01/22/2008

Effective Date

01/22/2008

Expiration Date

03/31/2010

City

SCHAUMBURG

State

Zip

60194

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010