RABIA N J ANSARI OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047933325

License Status

NOT RENEWED

Business

First Name

RABIA

Middle

N J

Last Name

ANSARI

Suffix

Business Name

RABIA N J ANSARI OD

Original Issue Date

08/22/2007

Effective Date

08/22/2007

Expiration Date

03/31/2008

City

BROADVIEW

State

Zip

60155

County

COOK

Ever Disciplined

LastModifiedDate

05/02/2008