GRACE HASHISAKA-TANAKA OD - Optometrist License in Illinois | # 047048160

GRACE HASHISAKA-TANAKA OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047048160

License Status

NOT RENEWED

Business

N

First Name

GRACE

Last Name

HASHISAKA-TANAKA

Suffix

OD

Business Name

GRACE HASHISAKA-TANAKA OD

Original Issue Date

04/20/1994

Expiration Date

03/31/1996

State

IL

Ever Disciplined

N

LastModifiedDate

09/01/2005