JENNIFER ROSES WONG Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****17

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

ROSES

Last Name

WONG

Business Name

JENNIFER ROSES WONG

Original Issue Date

06/12/2009

Effective Date

02/07/2012

Expiration Date

03/31/2014

City

CHICAGO

State

Zip

60602

County

COOK

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/06/2014