LISA TUNG OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047934354

License Status

CANCELLED

Business

First Name

LISA

Last Name

TUNG

Suffix

Business Name

LISA TUNG OD

Original Issue Date

07/01/2008

Effective Date

07/01/2008

Expiration Date

03/31/2010

City

GLEN ELLYN

State

Zip

60137

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/04/2010