E D ATTAYA OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047056207

License Status

CANCELLED

Business

First Name

Middle

Last Name

ATTAYA

Suffix

Business Name

E D ATTAYA OD

Original Issue Date

08/26/1996

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

CHICAGO

State

Zip

60629

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010