RONI SUNG OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****18

License Status

NOT RENEWED

Business

First Name

RONI

Last Name

SUNG

Suffix

Business Name

RONI SUNG OD

Original Issue Date

06/03/2002

Effective Date

06/04/2004

Expiration Date

03/31/2004

City

OAK PARK

State

Zip

60301

County

COOK

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

01/18/2006