CARLA MARIE DARAK OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047925901

License Status

NOT RENEWED

Business

First Name

CARLA

Middle

MARIE

Last Name

DARAK

Suffix

Business Name

CARLA MARIE DARAK OD

Original Issue Date

09/25/1998

Effective Date

04/15/2002

Expiration Date

03/31/2002

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2005