GOLIE ROSHANDEL-KEOVAN OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047929024

License Status

NOT RENEWED

Business

Title

First Name

GOLIE

Last Name

ROSHANDEL-KEOVAN

Business Name

GOLIE ROSHANDEL-KEOVAN OD

Original Issue Date

10/07/2002

Effective Date

03/08/2004

Expiration Date

03/31/2006

City

CHICAGO

State

Zip

60647

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2006