VASANA LERDVORATAVEE OD - Optometrist License in Illinois | # 047008943

VASANA LERDVORATAVEE OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047008943

License Status

NOT RENEWED

Business

N

First Name

VASANA

Last Name

LERDVORATAVEE

Suffix

OD

Business Name

VASANA LERDVORATAVEE OD

Original Issue Date

12/24/1996

Expiration Date

03/31/1998

State

IL

Ever Disciplined

N

LastModifiedDate

09/01/2005