TAREK MOHANA Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047929739

License Status

NOT RENEWED

Business

First Name

TAREK

Last Name

MOHANA

Business Name

TAREK MOHANA

Original Issue Date

10/15/2003

Effective Date

01/18/2006

Expiration Date

03/31/2008

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/02/2008