TANYA M PARKS OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047929965

License Status

NOT RENEWED

Business

Title

First Name

TANYA

Middle

Last Name

PARKS

Business Name

TANYA M PARKS OD

Original Issue Date

01/20/2004

Effective Date

01/20/2004

Expiration Date

03/31/2006

City

EVERGREEN PARK

State

Zip

60805

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2006