ANWI NGANDO ETAME OD - Optometrist License in Illinois | # 046010004

ANWI NGANDO ETAME OD

Business Entity

INACTIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046010004

License Status

INACTIVE

Business

N

First Name

ANWI

Middle

NGANDO

Last Name

ETAME

Suffix

OD

Business Name

ANWI NGANDO ETAME OD

Original Issue Date

07/06/2007

Effective Date

01/12/2018

Expiration Date

09/30/2020

State

IL

Ever Disciplined

N

LastModifiedDate

01/04/2020