KHANH V NGO OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****19

License Status

NOT RENEWED

Business

First Name

KHANH

Middle

Last Name

NGO

Suffix

Business Name

KHANH V NGO OD

Original Issue Date

03/30/2007

Effective Date

09/10/2015

Expiration Date

03/31/2016

City

LINCOLNWOOD

State

Zip

60712

County

COOK

Specialty/Qualifier

HOSPITAL/CLINIC

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

05/20/2016