VASANA LERDVORATAVEE OD - Optometrist License in Illinois | # 047926720

VASANA LERDVORATAVEE OD

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047926720

License Status

CANCELLED

Business

N

First Name

VASANA

Last Name

LERDVORATAVEE

Suffix

OD

Business Name

VASANA LERDVORATAVEE OD

Original Issue Date

01/14/2000

Effective Date

01/18/2006

Expiration Date

03/31/2008

State

IL

Ever Disciplined

N

LastModifiedDate

01/10/2008