KELLY TRUONG Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****29

License Status

NOT RENEWED

Business

First Name

KELLY

Last Name

TRUONG

Business Name

KELLY TRUONG

Original Issue Date

02/19/2015

Effective Date

02/19/2015

Expiration Date

03/31/2016

City

CHICAGO

State

Zip

60608

County

COOK

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/20/2016