HALLEEN KIM PHU Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****91

License Status

NOT RENEWED

Business

First Name

HALLEEN

Middle

KIM

Last Name

PHU

Business Name

HALLEEN KIM PHU

Original Issue Date

08/21/2009

Effective Date

03/28/2012

Expiration Date

03/31/2014

City

CHICAGO

State

Zip

60604

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/06/2014