GRACE HASHISAKA-TANAKA OD - Optometrist License in Illinois | # 047926365

GRACE HASHISAKA-TANAKA OD

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047926365

License Status

CANCELLED

Business

N

First Name

GRACE

Last Name

HASHISAKA-TANAKA

Suffix

OD

Business Name

GRACE HASHISAKA-TANAKA OD

Original Issue Date

09/03/1999

Effective Date

01/10/2008

Expiration Date

03/31/2010

State

IL

Ever Disciplined

N

LastModifiedDate

05/04/2010