VASANA LERDVORATAVEE OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047008943

License Status

NOT RENEWED

Business

First Name

VASANA

Last Name

LERDVORATAVEE

Suffix

Business Name

VASANA LERDVORATAVEE OD

Original Issue Date

12/24/1996

Expiration Date

03/31/1998

City

CHICAGO

State

Zip

60607

County

COOK

Ever Disciplined

LastModifiedDate

09/01/2005