QUATRISA IRVING OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046010042

License Status

NOT RENEWED

Business

First Name

QUATRISA

Last Name

IRVING

Suffix

Business Name

QUATRISA IRVING OD

Original Issue Date

11/26/2007

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010