RAPHAELLA HOANG TRAN OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****01

License Status

NOT RENEWED

Business

Title

First Name

RAPHAELLA

Middle

HOANG

Last Name

TRAN

Business Name

RAPHAELLA HOANG TRAN OD

Original Issue Date

06/24/2021

Effective Date

06/24/2021

Expiration Date

05/31/2022

City

GLENVIEW

State

Zip

60026

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

07/27/2022