E D ATTAYA OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047306207

License Status

CANCELLED

Business

First Name

Middle

Last Name

ATTAYA

Suffix

Business Name

E D ATTAYA OD

Original Issue Date

02/26/1976

Expiration Date

01/01/1997

City

CHICAGO

State

Zip

60609

County

COOK

Ever Disciplined

LastModifiedDate

09/01/2005