EIMAN Y GAFOUR OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047929667

License Status

NOT RENEWED

Business

First Name

EIMAN

Middle

Last Name

GAFOUR

Suffix

Business Name

EIMAN Y GAFOUR OD

Original Issue Date

09/19/2003

Effective Date

06/04/2004

Expiration Date

03/31/2004

City

CHICAGO

State

Zip

60647

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2005