SHARON RABENS MAITINO OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047925298

License Status

NOT RENEWED

Business

First Name

SHARON RABENS

Last Name

MAITINO

Suffix

Business Name

SHARON RABENS MAITINO OD

Original Issue Date

04/14/1997

Effective Date

06/04/2004

Expiration Date

03/31/2004

City

CHICAGO

State

Zip

60602

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2005