GRACE J PAN OD Optometrist License verification

Business Entity

INACTIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046009853

License Status

INACTIVE

Business

Title

First Name

GRACE

Middle

Last Name

PAN

Business Name

GRACE J PAN OD

Original Issue Date

06/20/2006

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

NORTHLAKE

State

Zip

60164

County

COOK

Ever Disciplined

LastModifiedDate

01/05/2010