KATHY LE PHAN Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****86

License Status

NOT RENEWED

Business

First Name

KATHY

Middle

Last Name

PHAN

Business Name

KATHY LE PHAN

Original Issue Date

01/17/2008

Effective Date

03/02/2016

Expiration Date

03/31/2018

City

SCHAUMBURG

State

Zip

60194

County

COOK

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

06/19/2018