ANGIE ABDALLAH GHANAYEM OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047933453

License Status

NOT RENEWED

Business

First Name

ANGIE

Middle

ABDALLAH

Last Name

GHANAYEM

Suffix

Business Name

ANGIE ABDALLAH GHANAYEM OD

Original Issue Date

10/10/2007

Effective Date

10/10/2007

Expiration Date

03/31/2008

City

CHICAGO

State

Zip

60647

County

COOK

Ever Disciplined

LastModifiedDate

05/02/2008