SAMALA KHAN OD - Optometrist License in Illinois | # 046009682

SAMALA KHAN OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046009682

License Status

NOT RENEWED

Business

N

First Name

SAMALA

Last Name

KHAN

Suffix

OD

Business Name

SAMALA KHAN OD

Original Issue Date

07/06/2004

Effective Date

07/06/2004

Expiration Date

03/31/2006

State

IL

Ever Disciplined

N

LastModifiedDate

05/11/2006