RABIA N J ANSARI OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047933842

License Status

CANCELLED

Business

First Name

RABIA

Middle

N J

Last Name

ANSARI

Suffix

Business Name

RABIA N J ANSARI OD

Original Issue Date

03/12/2008

Effective Date

03/12/2008

Expiration Date

03/31/2010

City

OAK PARK

State

Zip

60301

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010