AMNA MIRZA MALIK OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047933464

License Status

CANCELLED

Business

First Name

AMNA

Middle

MIRZA

Last Name

MALIK

Suffix

Business Name

AMNA MIRZA MALIK OD

Original Issue Date

10/15/2007

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

ALGONQUIN

State

Zip

60102

County

MCHENRY

Ever Disciplined

LastModifiedDate

05/04/2010