VASANA LERDVORATAVEE OD - Optometrist License in Illinois | # 047933799

VASANA LERDVORATAVEE OD

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047933799

License Status

CANCELLED

Business

N

First Name

VASANA

Last Name

LERDVORATAVEE

Suffix

OD

Business Name

VASANA LERDVORATAVEE OD

Original Issue Date

02/27/2008

Effective Date

02/27/2008

Expiration Date

03/31/2010

State

IL

Ever Disciplined

N

LastModifiedDate

05/04/2010