CHELISE NICOLE FIRMIN OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047931907

License Status

NOT RENEWED

Business

Title

First Name

CHELISE

Middle

NICOLE

Last Name

FIRMIN

Business Name

CHELISE NICOLE FIRMIN OD

Original Issue Date

04/17/2006

Effective Date

04/17/2006

Expiration Date

03/31/2008

City

PARK FOREST

State

Zip

60466

County

COOK

Ever Disciplined

LastModifiedDate

05/02/2008