MEGAN SUZANNE ALLEN OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047935428

License Status

CANCELLED

Business

First Name

MEGAN

Middle

SUZANNE

Last Name

ALLEN

Suffix

Business Name

MEGAN SUZANNE ALLEN OD

Original Issue Date

06/22/2009

Effective Date

06/22/2009

Expiration Date

03/31/2010

City

CHICAGO RIDGE

State

Zip

60415

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010