ANNE T GOUDANIS OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047932983

License Status

CANCELLED

Business

First Name

ANNE

Middle

Last Name

GOUDANIS

Suffix

Business Name

ANNE T GOUDANIS OD

Original Issue Date

04/24/2007

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

NILES

State

Zip

60714

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010