TANAPOL SIRITHAVEE Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047933463

License Status

CANCELLED

Business

First Name

TANAPOL

Last Name

SIRITHAVEE

Business Name

TANAPOL SIRITHAVEE

Original Issue Date

10/15/2007

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

CALUMET CITY

State

Zip

60409

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010