KIM NGO Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****78

License Status

NOT RENEWED

Business

First Name

KIM

Last Name

NGO

Business Name

KIM NGO

Original Issue Date

07/10/2007

Effective Date

07/10/2007

Expiration Date

03/31/2008

City

OAK BROOK

State

Zip

60523

County

DUPAGE

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

05/02/2008