MARY FAZELIAN OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047932110

License Status

NOT RENEWED

Business

Title

First Name

MARY

Last Name

FAZELIAN

Business Name

MARY FAZELIAN OD

Original Issue Date

04/20/2006

Effective Date

04/20/2006

Expiration Date

03/31/2008

City

ORLAND HILLS

State

Zip

60477

County

COOK

Ever Disciplined

LastModifiedDate

05/02/2008