TANAPOL SIRITHAVEE Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047933189

License Status

NOT RENEWED

Business

First Name

TANAPOL

Last Name

SIRITHAVEE

Business Name

TANAPOL SIRITHAVEE

Original Issue Date

07/18/2007

Effective Date

07/18/2007

Expiration Date

03/31/2008

City

CHICAGO

State

Zip

60629

County

COOK

Ever Disciplined

LastModifiedDate

05/02/2008