HEMALI H DAVE OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047931621

License Status

NOT RENEWED

Business

Title

First Name

HEMALI

Middle

Last Name

DAVE

Business Name

HEMALI H DAVE OD

Original Issue Date

12/06/2005

Effective Date

12/06/2005

Expiration Date

03/31/2006

City

CHICAGO

State

Zip

60610

County

COOK

Ever Disciplined

LastModifiedDate

11/02/2006