SCOTT ALAN CHAVIN OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047006432

License Status

NOT RENEWED

Business

First Name

SCOTT

Middle

ALAN

Last Name

CHAVIN

Suffix

Business Name

SCOTT ALAN CHAVIN OD

Original Issue Date

03/20/1978

Expiration Date

01/01/1997

City

CHICAGO

State

Zip

60623

County

COOK

Ever Disciplined

LastModifiedDate

09/01/2005