NGA N PHAN O.D. - Optometrist License in Illinois | # 047933850

NGA N PHAN O.D.

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047933850

License Status

CANCELLED

Business

N

Title

O.D.

First Name

NGA

Middle

N

Last Name

PHAN

Business Name

NGA N PHAN O.D.

Original Issue Date

03/13/2008

Effective Date

03/13/2008

Expiration Date

03/31/2010

State

IL

Ever Disciplined

N

LastModifiedDate

05/04/2010