YANNA T KISALA - Optometrist License in Illinois | # 047934626

YANNA T KISALA

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047934626

License Status

CANCELLED

Business

N

First Name

YANNA

Middle

T

Last Name

KISALA

Business Name

YANNA T KISALA

Original Issue Date

09/10/2008

Effective Date

09/10/2008

Expiration Date

03/31/2010

State

IL

Ever Disciplined

N

LastModifiedDate

05/04/2010