EZRA ATIKUNE OD - Optometrist License in Illinois | # 047930603

EZRA ATIKUNE OD

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047930603

License Status

CANCELLED

Business

N

First Name

EZRA

Last Name

ATIKUNE

Suffix

OD

Business Name

EZRA ATIKUNE OD

Original Issue Date

09/21/2004

Effective Date

01/10/2008

Expiration Date

03/31/2010

State

IL

Ever Disciplined

N

LastModifiedDate

05/04/2010