ELILTA BEREKETAB OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046009523

License Status

NOT RENEWED

Business

First Name

ELILTA

Last Name

BEREKETAB

Suffix

Business Name

ELILTA BEREKETAB OD

Original Issue Date

01/27/2003

Effective Date

03/14/2018

Expiration Date

09/30/2020

City

PINCKNEYVILLE

State

Zip

62274

County

PERRY

Ever Disciplined

LastModifiedDate

01/14/2021