ANA MILENA SURY OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047929760

License Status

NOT RENEWED

Business

First Name

ANA

Middle

MILENA

Last Name

SURY

Suffix

Business Name

ANA MILENA SURY OD

Original Issue Date

10/16/2003

Effective Date

06/04/2004

Expiration Date

03/31/2004

City

ELGIN

State

Zip

60123

County

KANE

Ever Disciplined

LastModifiedDate

09/11/2005