SUSAN PARK TSENG OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047935414

License Status

CANCELLED

Business

First Name

SUSAN

Middle

PARK

Last Name

TSENG

Suffix

Business Name

SUSAN PARK TSENG OD

Original Issue Date

06/16/2009

Effective Date

06/16/2009

Expiration Date

03/31/2010

City

DES PLAINES

State

Zip

60016

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010