MISSBA BAWANEY OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047932575

License Status

NOT RENEWED

Business

Title

First Name

MISSBA

Last Name

BAWANEY

Business Name

MISSBA BAWANEY OD

Original Issue Date

10/24/2006

Effective Date

10/24/2006

Expiration Date

03/31/2008

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

05/02/2008