EZRA ATIKUNE OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047930603

License Status

CANCELLED

Business

First Name

EZRA

Last Name

ATIKUNE

Suffix

Business Name

EZRA ATIKUNE OD

Original Issue Date

09/21/2004

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

ROLLING MEADOWS

State

Zip

60008

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010