KATHERINE TSZKWAN KWAN OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047935729

License Status

CANCELLED

Business

Title

First Name

KATHERINE

Middle

TSZKWAN

Last Name

KWAN

Business Name

KATHERINE TSZKWAN KWAN OD

Original Issue Date

09/30/2009

Effective Date

09/30/2009

Expiration Date

03/31/2010

City

EAST PEORIA

State

Zip

61611

County

TAZEWELL

Ever Disciplined

LastModifiedDate

05/04/2010