TRANGDAI VUONG HOANG-TRAN OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****70

License Status

NOT RENEWED

Business

First Name

TRANGDAI

Middle

VUONG

Last Name

HOANG-TRAN

Suffix

Business Name

TRANGDAI VUONG HOANG-TRAN OD

Original Issue Date

10/13/2010

Effective Date

10/13/2010

Expiration Date

03/31/2012

City

NORRIDGE

State

Zip

60706

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/16/2012