MISSBA BAWANEY OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047935120

License Status

CANCELLED

Business

Title

First Name

MISSBA

Last Name

BAWANEY

Business Name

MISSBA BAWANEY OD

Original Issue Date

03/02/2009

Effective Date

03/02/2009

Expiration Date

03/31/2010

City

CHICAGO

State

Zip

60647

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010