TANVI D MAGO OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047933860

License Status

CANCELLED

Business

Title

First Name

TANVI

Middle

Last Name

MAGO

Business Name

TANVI D MAGO OD

Original Issue Date

03/17/2008

Effective Date

03/17/2008

Expiration Date

03/31/2010

City

CHICAGO

State

Zip

60629

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010