GRACE HASHISAKA-TANAKA OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047028160

License Status

CANCELLED

Business

First Name

GRACE

Last Name

HASHISAKA-TANAKA

Suffix

Business Name

GRACE HASHISAKA-TANAKA OD

Original Issue Date

04/19/1994

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010