EZRA ATIKUNE OD - Optometrist License in Illinois | # 047928629

EZRA ATIKUNE OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047928629

License Status

NOT RENEWED

Business

N

First Name

EZRA

Last Name

ATIKUNE

Suffix

OD

Business Name

EZRA ATIKUNE OD

Original Issue Date

04/29/2002

Effective Date

06/04/2004

Expiration Date

03/31/2004

State

IL

Ever Disciplined

N

LastModifiedDate

09/11/2005