HALLEEN KIM PHU Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047935811

License Status

CANCELLED

Business

First Name

HALLEEN

Middle

KIM

Last Name

PHU

Business Name

HALLEEN KIM PHU

Original Issue Date

10/23/2009

Effective Date

10/23/2009

Expiration Date

03/31/2010

City

SCHAUMBURG

State

Zip

60173

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010