CHULA LERDVORATAVEE Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047007841

License Status

NOT RENEWED

Business

First Name

CHULA

Last Name

LERDVORATAVEE

Business Name

CHULA LERDVORATAVEE

Original Issue Date

11/21/1986

Expiration Date

03/31/1990

City

EVANSTON

State

Zip

60201

County

COOK

Ever Disciplined

LastModifiedDate

09/01/2005