ROSS W MLSNA OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047928359

License Status

CANCELLED

Business

First Name

ROSS

Middle

Last Name

MLSNA

Suffix

Business Name

ROSS W MLSNA OD

Original Issue Date

01/08/2002

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

CHICAGO

State

Zip

60638

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010