MINI JOHN OD Optometrist License verification

Business Entity

INOPERATIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047928390

License Status

INOPERATIVE

Business

First Name

MINI

Last Name

JOHN

Suffix

Business Name

MINI JOHN OD

Original Issue Date

01/31/2002

Effective Date

03/20/2002

Expiration Date

03/31/2004

City

NORRIDGE

State

Zip

60706

County

COOK

Ever Disciplined

LastModifiedDate

09/01/2005