ALEX R TAN OD - Optometrist License in Illinois | # 047931126

ALEX R TAN OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047931126

License Status

NOT RENEWED

Business

N

First Name

ALEX

Middle

R

Last Name

TAN

Suffix

OD

Business Name

ALEX R TAN OD

Original Issue Date

04/21/2005

Effective Date

04/21/2005

Expiration Date

03/31/2006

State

IL

Ever Disciplined

N

LastModifiedDate

05/11/2006