PHUONG N NGUYEN OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047933940

License Status

CANCELLED

Business

First Name

PHUONG

Middle

Last Name

NGUYEN

Suffix

Business Name

PHUONG N NGUYEN OD

Original Issue Date

03/28/2008

Effective Date

03/28/2008

Expiration Date

03/31/2010

City

BLOOMINGDALE

State

Zip

60108

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/04/2010