VASANA LERDVORATAVEE OD - Optometrist License in Illinois | # 047925362

VASANA LERDVORATAVEE OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047925362

License Status

NOT RENEWED

Business

N

First Name

VASANA

Last Name

LERDVORATAVEE

Suffix

OD

Business Name

VASANA LERDVORATAVEE OD

Original Issue Date

06/17/1997

Effective Date

02/10/2004

Expiration Date

03/31/2006

State

IL

Ever Disciplined

N

LastModifiedDate

05/11/2006