SUN AE MA OD - Optometrist License in Illinois | # 047028065

SUN AE MA OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047028065

License Status

NOT RENEWED

Business

N

Title

OD

First Name

SUN

Middle

AE

Last Name

MA

Business Name

SUN AE MA OD

Original Issue Date

12/22/1994

Expiration Date

03/31/1998

State

IL

Ever Disciplined

N

LastModifiedDate

09/01/2005