AMNA MIRZA MALIK OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047934785

License Status

CANCELLED

Business

First Name

AMNA

Middle

MIRZA

Last Name

MALIK

Suffix

Business Name

AMNA MIRZA MALIK OD

Original Issue Date

10/26/2008

Effective Date

10/26/2008

Expiration Date

03/31/2010

City

BLOOMINGDALE

State

Zip

60108

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/04/2010