EZRA ATIKUNE OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047928364

License Status

NOT RENEWED

Business

First Name

EZRA

Last Name

ATIKUNE

Suffix

Business Name

EZRA ATIKUNE OD

Original Issue Date

01/17/2002

Effective Date

03/31/2004

Expiration Date

03/31/2006

City

CHICAGO

State

Zip

60641

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2006