AMNA MIRZA MALIK OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047934863

License Status

CANCELLED

Business

First Name

AMNA

Middle

MIRZA

Last Name

MALIK

Suffix

Business Name

AMNA MIRZA MALIK OD

Original Issue Date

11/18/2008

Effective Date

11/18/2008

Expiration Date

03/31/2010

City

VERNON HILLS

State

Zip

60061

County

LAKE

Ever Disciplined

LastModifiedDate

05/04/2010