ANNE CHUNG OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****05

License Status

NOT RENEWED

Business

First Name

ANNE

Last Name

CHUNG

Suffix

Business Name

ANNE CHUNG OD

Original Issue Date

03/11/2008

Effective Date

02/21/2018

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60639

County

COOK

Specialty/Qualifier

HOSPITAL/CLINIC

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

01/14/2021