QUATRISA IRVING OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047934163

License Status

CANCELLED

Business

First Name

QUATRISA

Last Name

IRVING

Suffix

Business Name

QUATRISA IRVING OD

Original Issue Date

04/30/2008

Effective Date

04/30/2008

Expiration Date

03/31/2010

City

OAK LAWN

State

Zip

60453

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010