NINA G BALLEW OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046011441

License Status

NOT RENEWED

Business

Title

First Name

NINA

Middle

Last Name

BALLEW

Business Name

NINA G BALLEW OD

Original Issue Date

06/10/2020

Effective Date

06/10/2020

Expiration Date

05/31/2022

City

CHICAGO

State

Zip

60616

County

COOK

Ever Disciplined

LastModifiedDate

07/27/2022