TAREK MOHANA Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047928863

License Status

NOT RENEWED

Business

First Name

TAREK

Last Name

MOHANA

Business Name

TAREK MOHANA

Original Issue Date

08/14/2002

Effective Date

06/04/2004

Expiration Date

03/31/2004

City

MACHESNEY PARK

State

Zip

61115

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/11/2005