ANDREA CHIYOUNG KANG OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****33

License Status

NOT RENEWED

Business

First Name

ANDREA

Middle

CHIYOUNG

Last Name

KANG

Suffix

Business Name

ANDREA CHIYOUNG KANG OD

Original Issue Date

11/28/2001

Effective Date

03/15/2010

Expiration Date

03/31/2012

City

CHICAGO

State

Zip

60614

County

COOK

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/16/2012