KELLY TRUONG Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047935103

License Status

CANCELLED

Business

First Name

KELLY

Last Name

TRUONG

Business Name

KELLY TRUONG

Original Issue Date

02/25/2009

Effective Date

02/25/2009

Expiration Date

03/31/2010

City

JOLIET

State

Zip

60435

County

WILL

Ever Disciplined

LastModifiedDate

05/04/2010