SARAH MAN-TING FONG OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****90

License Status

NOT RENEWED

Business

Title

First Name

SARAH

Middle

MAN-TING

Last Name

FONG

Business Name

SARAH MAN-TING FONG OD

Original Issue Date

06/21/2016

Effective Date

06/21/2016

Expiration Date

03/31/2018

City

EVANSTON

State

Zip

60201

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

06/19/2018