AMY MONGYUN WEN Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****57

License Status

NOT RENEWED

Business

First Name

AMY

Middle

MONGYUN

Last Name

WEN

Business Name

AMY MONGYUN WEN

Original Issue Date

06/27/2020

Effective Date

06/27/2020

Expiration Date

05/31/2022

City

CHICAGO

State

Zip

60616

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/27/2022