SUN AE MA OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047028065

License Status

NOT RENEWED

Business

Title

First Name

SUN

Middle

Last Name

Business Name

SUN AE MA OD

Original Issue Date

12/22/1994

Expiration Date

03/31/1998

City

CHICAGO

State

Zip

60616

County

COOK

Ever Disciplined

LastModifiedDate

09/01/2005