JASON N KWON OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****51

License Status

NOT RENEWED

Business

First Name

JASON

Middle

Last Name

KWON

Suffix

Business Name

JASON N KWON OD

Original Issue Date

08/16/2002

Effective Date

03/26/2022

Expiration Date

03/31/2024

City

ROUND LAKE BEACH

State

Zip

60073

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

02/05/2025