E D ATTAYA OD - Optometrist License in Illinois | # 047306207

E D ATTAYA OD

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047306207

License Status

CANCELLED

Business

N

First Name

E

Middle

D

Last Name

ATTAYA

Suffix

OD

Business Name

E D ATTAYA OD

Original Issue Date

02/26/1976

Expiration Date

01/01/1997

State

IL

Ever Disciplined

N

LastModifiedDate

09/01/2005