PHDRA N RANJBAR OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047935550

License Status

CANCELLED

Business

Title

First Name

PHDRA

Middle

Last Name

RANJBAR

Business Name

PHDRA N RANJBAR OD

Original Issue Date

07/29/2009

Effective Date

07/29/2009

Expiration Date

03/31/2010

City

CHICAGO RIDGE

State

Zip

60415

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010