CHIH-JEN WANG OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****68

License Status

NOT RENEWED

Business

First Name

CHIH-JEN

Last Name

WANG

Suffix

Business Name

CHIH-JEN WANG OD

Original Issue Date

05/18/2004

Effective Date

01/18/2006

Expiration Date

03/31/2008

City

MARION

State

Zip

62959

County

WILLIAMSON

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

05/02/2008