LORA SOPYLA PANG OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****32

License Status

NOT RENEWED

Business

First Name

LORA SOPYLA

Last Name

PANG

Suffix

Business Name

LORA SOPYLA PANG OD

Original Issue Date

10/09/1996

Effective Date

05/18/2000

Expiration Date

03/31/2000

City

LAWRENCE

State

Zip

66049

County

KANSAS

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

09/11/2005