ANGIE ABDALLAH GHANAYEM OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047933217

License Status

CANCELLED

Business

First Name

ANGIE

Middle

ABDALLAH

Last Name

GHANAYEM

Suffix

Business Name

ANGIE ABDALLAH GHANAYEM OD

Original Issue Date

07/25/2007

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

CHICAGO

State

Zip

60631

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010