VY NGUYEN LE OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****97

License Status

NOT RENEWED

Business

Title

First Name

Middle

NGUYEN

Last Name

Business Name

VY NGUYEN LE OD

Original Issue Date

08/10/2015

Effective Date

03/01/2016

Expiration Date

03/31/2018

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/19/2018