SHERENE CHEAM FORT OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046009308

License Status

NOT RENEWED

Business

First Name

SHERENE

Middle

CHEAM

Last Name

FORT

Suffix

Business Name

SHERENE CHEAM FORT OD

Original Issue Date

09/14/2000

Effective Date

06/04/2004

Expiration Date

03/31/2004

City

CHICAGO

State

Zip

60622

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2005