ALEX R TAN OD - Optometrist License in Illinois | # 047934668

ALEX R TAN OD

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047934668

License Status

CANCELLED

Business

N

First Name

ALEX

Middle

R

Last Name

TAN

Suffix

OD

Business Name

ALEX R TAN OD

Original Issue Date

09/19/2008

Effective Date

09/19/2008

Expiration Date

03/31/2010

State

IL

Ever Disciplined

N

LastModifiedDate

05/04/2010