MICHELLE CHAN OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047930424

License Status

NOT RENEWED

Business

First Name

MICHELLE

Last Name

CHAN

Suffix

Business Name

MICHELLE CHAN OD

Original Issue Date

08/12/2004

Effective Date

01/18/2006

Expiration Date

03/31/2008

City

CHICAGO

State

Zip

60645

County

COOK

Ever Disciplined

LastModifiedDate

05/02/2008