SCOTT NELSON CHIN OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047928843

License Status

NOT RENEWED

Business

First Name

SCOTT

Middle

NELSON

Last Name

CHIN

Suffix

Business Name

SCOTT NELSON CHIN OD

Original Issue Date

08/14/2002

Effective Date

06/04/2004

Expiration Date

03/31/2004

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2005