HETAL RANA OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047931025

License Status

NOT RENEWED

Business

First Name

HETAL

Last Name

RANA

Suffix

Business Name

HETAL RANA OD

Original Issue Date

03/14/2005

Effective Date

03/14/2005

Expiration Date

03/31/2006

City

GLEN ELLYN

State

Zip

60138

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/11/2006