ANNE CHUNG OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****06

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

03/11/2008

Expiration Date

03/31/2010

City

LAKE ZURICH

State

Zip

60047

County

LAKE

Specialty/Qualifier

HOSPITAL/CLINIC

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

05/04/2010