SARAH S MANONGDO JOYA OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****15

License Status

NOT RENEWED

Business

First Name

SARAH

Middle

S MANONGDO

Last Name

JOYA

Suffix

Business Name

SARAH S MANONGDO JOYA OD

Original Issue Date

06/23/2005

Effective Date

06/23/2005

Expiration Date

03/31/2006

City

CHICAGO

State

Zip

60602

County

COOK

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

05/11/2006