PHUONG N NGUYEN OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****42

License Status

NOT RENEWED

Business

First Name

PHUONG

Middle

Last Name

NGUYEN

Suffix

Business Name

PHUONG N NGUYEN OD

Original Issue Date

03/16/2010

Effective Date

03/09/2012

Expiration Date

03/31/2014

City

RIVER FOREST

State

Zip

60305

County

COOK

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/06/2014