SHAYMA R ANSARI OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047929847

License Status

NOT RENEWED

Business

First Name

SHAYMA

Middle

Last Name

ANSARI

Suffix

Business Name

SHAYMA R ANSARI OD

Original Issue Date

11/06/2003

Effective Date

06/04/2004

Expiration Date

03/31/2004

City

NILES

State

Zip

60714

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2005