EZRA ATIKUNE OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047926936

License Status

NOT RENEWED

Business

First Name

EZRA

Last Name

ATIKUNE

Suffix

Business Name

EZRA ATIKUNE OD

Original Issue Date

04/10/2000

Effective Date

04/15/2002

Expiration Date

03/31/2002

City

CHICAGO

State

Zip

60641

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2005