KELLY TRUONG Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047934670

License Status

CANCELLED

Business

First Name

KELLY

Last Name

TRUONG

Business Name

KELLY TRUONG

Original Issue Date

09/20/2008

Effective Date

09/20/2008

Expiration Date

03/31/2010

City

CALUMET CITY

State

Zip

60409

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010