DANIEL CAO TRUONG 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

DANIEL

Middle

CAO

Last Name

TRUONG

Suffix

Business Name

DANIEL CAO TRUONG OD

Original Issue Date

05/12/2005

Effective Date

05/12/2005

Expiration Date

03/31/2006

City

PEORIA

State

Zip

61615

County

PEORIA

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/11/2006