SCOTT NELSON CHIN OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047929946

License Status

CANCELLED

Business

First Name

SCOTT

Middle

NELSON

Last Name

CHIN

Suffix

Business Name

SCOTT NELSON CHIN OD

Original Issue Date

01/13/2004

Effective Date

05/16/2006

Expiration Date

03/31/2008

City

CHICAGO

State

Zip

60641

County

COOK

Ever Disciplined

LastModifiedDate

01/10/2008