PHUONG N NGUYEN OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047935171

License Status

CANCELLED

Business

First Name

PHUONG

Middle

Last Name

NGUYEN

Suffix

Business Name

PHUONG N NGUYEN OD

Original Issue Date

03/19/2009

Effective Date

03/19/2009

Expiration Date

03/31/2010

City

COUNTRYSIDE

State

Zip

60525

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010