DURGA P YERRAMILLI OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047929176

License Status

CANCELLED

Business

First Name

DURGA

Middle

Last Name

YERRAMILLI

Suffix

Business Name

DURGA P YERRAMILLI OD

Original Issue Date

11/26/2002

Effective Date

03/23/2004

Expiration Date

03/31/2006

City

GLENVIEW

State

Zip

60026

County

COOK

Ever Disciplined

LastModifiedDate

01/18/2006