COLLEEN MARY GOVEKAR OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047933627

License Status

CANCELLED

Business

First Name

COLLEEN

Middle

MARY

Last Name

GOVEKAR

Suffix

Business Name

COLLEEN MARY GOVEKAR OD

Original Issue Date

12/11/2007

Effective Date

12/11/2007

Expiration Date

03/31/2008

City

CHICAGO

State

Zip

60626

County

COOK

Ever Disciplined

LastModifiedDate

01/10/2008