GRACE TRAN OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047935859

License Status

CANCELLED

Business

Title

First Name

GRACE

Last Name

TRAN

Business Name

GRACE TRAN OD

Original Issue Date

11/18/2009

Effective Date

11/18/2009

Expiration Date

03/31/2010

City

CHICAGO

State

Zip

60616

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010