DURGA P YERRAMILLI OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047929022

License Status

NOT RENEWED

Business

First Name

DURGA

Middle

Last Name

YERRAMILLI

Suffix

Business Name

DURGA P YERRAMILLI OD

Original Issue Date

09/26/2002

Effective Date

06/04/2004

Expiration Date

03/31/2004

City

CALUMET CITY

State

Zip

60409

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2005