AMINA EBRAHIM OD - Optometrist License in Illinois | # 047929164

AMINA EBRAHIM OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047929164

License Status

NOT RENEWED

Business

N

First Name

AMINA

Last Name

EBRAHIM

Suffix

OD

Business Name

AMINA EBRAHIM OD

Original Issue Date

11/21/2002

Effective Date

06/04/2004

Expiration Date

03/31/2004

State

IL

Ever Disciplined

N

LastModifiedDate

09/11/2005