YANNA T KISALA Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047934626

License Status

CANCELLED

Business

First Name

YANNA

Middle

Last Name

KISALA

Business Name

YANNA T KISALA

Original Issue Date

09/10/2008

Effective Date

09/10/2008

Expiration Date

03/31/2010

City

MOUNT PROSPECT

State

Zip

60056

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010