SHAYMA R ANSARI OD Optometrist License verification

Business Entity

INACTIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046009590

License Status

INACTIVE

Business

First Name

SHAYMA

Middle

Last Name

ANSARI

Suffix

Business Name

SHAYMA R ANSARI OD

Original Issue Date

08/15/2003

Effective Date

04/01/2004

Expiration Date

03/31/2006

City

SCHAUMBURG

State

Zip

60194

County

COOK

Ever Disciplined

LastModifiedDate

03/15/2006