SHERENE CHEAM FORT OD - Optometrist License in Illinois | # 047928140

SHERENE CHEAM FORT OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047928140

License Status

NOT RENEWED

Business

N

First Name

SHERENE

Middle

CHEAM

Last Name

FORT

Suffix

OD

Business Name

SHERENE CHEAM FORT OD

Original Issue Date

09/06/2001

Effective Date

04/15/2002

Expiration Date

03/31/2002

State

IL

Ever Disciplined

N

LastModifiedDate

09/11/2005