UNNATI S DIXIT OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047929798

License Status

NOT RENEWED

Business

First Name

UNNATI

Middle

Last Name

DIXIT

Suffix

Business Name

UNNATI S DIXIT OD

Original Issue Date

10/24/2003

Effective Date

06/04/2004

Expiration Date

03/31/2004

City

BROADVIEW

State

Zip

60155

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2005