ELENA COLLIER OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047932538

License Status

CANCELLED

Business

First Name

ELENA

Last Name

COLLIER

Suffix

Business Name

ELENA COLLIER OD

Original Issue Date

09/21/2006

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

CHICAGO

State

Zip

60647

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010