SCOTT NELSON CHIN OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047927193

License Status

NOT RENEWED

Business

First Name

SCOTT

Middle

NELSON

Last Name

CHIN

Suffix

Business Name

SCOTT NELSON CHIN OD

Original Issue Date

06/02/2000

Effective Date

04/15/2002

Expiration Date

03/31/2002

City

CHICAGO

State

Zip

60647

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2005