SUNG Y KIM OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047934432

License Status

CANCELLED

Business

First Name

SUNG

Middle

Last Name

KIM

Suffix

Business Name

SUNG Y KIM OD

Original Issue Date

07/24/2008

Effective Date

07/24/2008

Expiration Date

03/31/2010

City

ELK GROVE VILLAGE

State

Zip

60007

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010