MICHELLE CHAN OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047931610

License Status

NOT RENEWED

Business

First Name

MICHELLE

Last Name

CHAN

Suffix

Business Name

MICHELLE CHAN OD

Original Issue Date

11/08/2005

Effective Date

11/08/2005

Expiration Date

03/31/2006

City

CHICAGO

State

Zip

60610

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2006