OMID A LEYLANI OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047927155

License Status

CANCELLED

Business

Title

First Name

OMID

Middle

Last Name

LEYLANI

Business Name

OMID A LEYLANI OD

Original Issue Date

05/19/2000

Effective Date

04/11/2002

Expiration Date

03/31/2002

City

BLOOMINGDALE

State

Zip

60108

County

DUPAGE

Ever Disciplined

LastModifiedDate

09/01/2005