SHERENE CHEAM FORT OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047928144

License Status

NOT RENEWED

Business

First Name

SHERENE

Middle

CHEAM

Last Name

FORT

Suffix

Business Name

SHERENE CHEAM FORT OD

Original Issue Date

09/06/2001

Effective Date

04/15/2002

Expiration Date

03/31/2002

City

CHICAGO

State

Zip

60636

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2005