PATRICK KWONG OD Optometrist License verification

Business Entity

INACTIVE

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****34

License Status

INACTIVE

Business

First Name

PATRICK

Last Name

KWONG

Suffix

Business Name

PATRICK KWONG OD

Original Issue Date

05/05/2003

Effective Date

03/16/2012

Expiration Date

03/31/2014

City

LAKE ZURICH

State

Zip

60047

County

LAKE

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

04/01/2014