JENNY YOUNGJIN PARK Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047934922

License Status

CANCELLED

Business

First Name

JENNY

Middle

YOUNGJIN

Last Name

PARK

Business Name

JENNY YOUNGJIN PARK

Original Issue Date

12/11/2008

Effective Date

12/11/2008

Expiration Date

03/31/2010

City

CHICAGO

State

Zip

60601

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010