ZAHRA ADENWALLA OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047935182

License Status

CANCELLED

Business

Title

First Name

ZAHRA

Last Name

ADENWALLA

Business Name

ZAHRA ADENWALLA OD

Original Issue Date

03/25/2009

Effective Date

03/25/2009

Expiration Date

03/31/2010

City

CHICAGO RIDGE

State

Zip

60415

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010