MICHAEL VATHANASAYNEE OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047933104

License Status

NOT RENEWED

Business

First Name

MICHAEL

Last Name

VATHANASAYNEE

Suffix

Business Name

MICHAEL VATHANASAYNEE OD

Original Issue Date

06/26/2007

Effective Date

06/26/2007

Expiration Date

03/31/2008

City

SKOKIE

State

Zip

60077

County

COOK

Ever Disciplined

LastModifiedDate

05/02/2008