SUNG Y KIM OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****41

License Status

NOT RENEWED

Business

First Name

SUNG

Middle

Last Name

KIM

Suffix

Business Name

SUNG Y KIM OD

Original Issue Date

08/21/2006

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

NORTHBROOK

State

Zip

60062

County

COOK

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/04/2010