SHU SHENG PHUNG OD

Business Entity
ACTIVE

Optometrist

OPTOMETRIST CONTROLLED SUBSTANCE

34*****77

ACTIVE

N

SHU

SHENG

PHUNG

OD

SHU SHENG PHUNG OD

11/15/2010

03/15/2026

03/31/2028

WHEATON

IL

60189

WILL

III IV V

N

03/15/2026