AMINA EBRAHIM OD - Optometrist License in Illinois | # 047930600

AMINA EBRAHIM OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047930600

License Status

NOT RENEWED

Business

N

First Name

AMINA

Last Name

EBRAHIM

Suffix

OD

Business Name

AMINA EBRAHIM OD

Original Issue Date

09/17/2004

Effective Date

09/17/2004

Expiration Date

03/31/2006

State

IL

Ever Disciplined

N

LastModifiedDate

05/11/2006