JENNIE NGUYEN Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****75

License Status

NOT RENEWED

Business

First Name

JENNIE

Last Name

NGUYEN

Business Name

JENNIE NGUYEN

Original Issue Date

10/20/2010

Effective Date

03/19/2012

Expiration Date

03/31/2014

City

CHICAGO

State

Zip

60659

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/06/2014