GRACE HASHISAKA-TANAKA OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047048160

License Status

NOT RENEWED

Business

First Name

GRACE

Last Name

HASHISAKA-TANAKA

Suffix

Business Name

GRACE HASHISAKA-TANAKA OD

Original Issue Date

04/20/1994

Expiration Date

03/31/1996

City

CHICAGO

State

Zip

60641

County

COOK

Ever Disciplined

LastModifiedDate

09/01/2005