TANYA M PARKS OD - Optometrist License in Illinois | # 047929965

TANYA M PARKS OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047929965

License Status

NOT RENEWED

Business

N

Title

OD

First Name

TANYA

Middle

M

Last Name

PARKS

Business Name

TANYA M PARKS OD

Original Issue Date

01/20/2004

Effective Date

01/20/2004

Expiration Date

03/31/2006

State

IL

Ever Disciplined

N

LastModifiedDate

05/11/2006