WANDA NGA-MAN LAM OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****62

License Status

NOT RENEWED

Business

First Name

WANDA

Middle

NGA-MAN

Last Name

LAM

Suffix

Business Name

WANDA NGA-MAN LAM OD

Original Issue Date

10/13/2000

Effective Date

04/15/2002

Expiration Date

03/31/2002

City

DES PLAINES

State

Zip

60018

County

COOK

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

01/18/2006