PHUONG N NGUYEN OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047934266

License Status

CANCELLED

Business

First Name

PHUONG

Middle

Last Name

NGUYEN

Suffix

Business Name

PHUONG N NGUYEN OD

Original Issue Date

06/07/2008

Effective Date

06/07/2008

Expiration Date

03/31/2010

City

WHEATON

State

Zip

60187

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/04/2010