KULSOOM T MURTAZA OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047008782

License Status

NOT RENEWED

Business

First Name

KULSOOM T

Last Name

MURTAZA

Suffix

Business Name

KULSOOM T MURTAZA OD

Original Issue Date

09/20/1995

Effective Date

06/12/1999

Expiration Date

03/31/1998

City

LOMBARD

State

Zip

60148

County

COOK

Ever Disciplined

LastModifiedDate

09/01/2005