SCOTT ALAN CHAVIN OD - Optometrist License in Illinois | # 047006432

SCOTT ALAN CHAVIN OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047006432

License Status

NOT RENEWED

Business

N

First Name

SCOTT

Middle

ALAN

Last Name

CHAVIN

Suffix

OD

Business Name

SCOTT ALAN CHAVIN OD

Original Issue Date

03/20/1978

Expiration Date

01/01/1997

State

IL

Ever Disciplined

N

LastModifiedDate

09/01/2005