SCOTT ALAN CHAVIN OD - Optometrist License in Illinois | # 047106432

SCOTT ALAN CHAVIN OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047106432

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

11/18/1980

Expiration Date

05/01/1982

State

IL

Ever Disciplined

N

LastModifiedDate

09/01/2005