ANA MILENA SURY OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047935857

License Status

CANCELLED

Business

First Name

ANA

Middle

MILENA

Last Name

SURY

Suffix

Business Name

ANA MILENA SURY OD

Original Issue Date

11/18/2009

Effective Date

11/18/2009

Expiration Date

03/31/2010

City

ELMWOOD PARK

State

Zip

60707

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010