ELILTA BEREKETAB OD - Optometrist License in Illinois | # 046009523

ELILTA BEREKETAB OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046009523

License Status

NOT RENEWED

Business

N

First Name

ELILTA

Last Name

BEREKETAB

Suffix

OD

Business Name

ELILTA BEREKETAB OD

Original Issue Date

01/27/2003

Effective Date

03/14/2018

Expiration Date

09/30/2020

State

IL

Ever Disciplined

N

LastModifiedDate

01/14/2021