ANA MILENA SURY OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047930356

License Status

NOT RENEWED

Business

First Name

ANA

Middle

MILENA

Last Name

SURY

Suffix

Business Name

ANA MILENA SURY OD

Original Issue Date

06/29/2004

Effective Date

06/29/2004

Expiration Date

03/31/2006

City

WOOD DALE

State

Zip

60191

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/11/2006