EIMAN Y GAFOUR OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047930284

License Status

NOT RENEWED

Business

First Name

EIMAN

Middle

Last Name

GAFOUR

Suffix

Business Name

EIMAN Y GAFOUR OD

Original Issue Date

06/09/2004

Effective Date

06/09/2004

Expiration Date

03/31/2006

City

CHICAGO

State

Zip

60641

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2006