KELLY TRUONG Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047934825

License Status

CANCELLED

Business

First Name

KELLY

Last Name

TRUONG

Business Name

KELLY TRUONG

Original Issue Date

11/04/2008

Effective Date

11/04/2008

Expiration Date

03/31/2010

City

CHICAGO

State

Zip

60617

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010