TANYA M PARKS OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047927803

License Status

NOT RENEWED

Business

Title

First Name

TANYA

Middle

Last Name

PARKS

Business Name

TANYA M PARKS OD

Original Issue Date

03/21/2001

Effective Date

04/15/2002

Expiration Date

03/31/2002

City

FRANKFORT

State

Zip

60423

County

WILL

Ever Disciplined

LastModifiedDate

09/11/2005