DANIELLE LEONG JIN 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

DANIELLE

Last Name

LEONG JIN

Suffix

Business Name

DANIELLE LEONG JIN OD

Original Issue Date

06/28/2011

Effective Date

02/04/2016

Expiration Date

03/31/2018

City

DOWNERS GROVE

State

Zip

60515

County

DUPAGE

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

06/19/2018