AMINA EBRAHIM OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047929171

License Status

NOT RENEWED

Business

First Name

AMINA

Last Name

EBRAHIM

Suffix

Business Name

AMINA EBRAHIM OD

Original Issue Date

11/26/2002

Effective Date

06/04/2004

Expiration Date

03/31/2004

City

CHICAGO

State

Zip

60601

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2005