GRACE HASHISAKA-TANAKA OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047926365

License Status

CANCELLED

Business

First Name

GRACE

Last Name

HASHISAKA-TANAKA

Suffix

Business Name

GRACE HASHISAKA-TANAKA OD

Original Issue Date

09/03/1999

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

CHICAGO

State

Zip

60610

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010