ANWI NGANDO ETAME OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047934722

License Status

CANCELLED

Business

First Name

ANWI

Middle

NGANDO

Last Name

ETAME

Suffix

Business Name

ANWI NGANDO ETAME OD

Original Issue Date

10/07/2008

Effective Date

10/07/2008

Expiration Date

03/31/2010

City

FOREST PARK

State

Zip

60130

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010