AMINA EBRAHIM OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047929803

License Status

NOT RENEWED

Business

First Name

AMINA

Last Name

EBRAHIM

Suffix

Business Name

AMINA EBRAHIM OD

Original Issue Date

10/27/2003

Effective Date

06/04/2004

Expiration Date

03/31/2004

City

ELGIN

State

Zip

60118

County

KANE

Ever Disciplined

LastModifiedDate

09/11/2005