JENNY YOUNGJIN PARK Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047934484

License Status

CANCELLED

Business

First Name

JENNY

Middle

YOUNGJIN

Last Name

PARK

Business Name

JENNY YOUNGJIN PARK

Original Issue Date

08/03/2008

Effective Date

08/03/2008

Expiration Date

03/31/2010

City

CHICAGO RIDGE

State

Zip

60415

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010