RASA L THARP OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047935868

License Status

CANCELLED

Business

First Name

RASA

Middle

Last Name

THARP

Suffix

Business Name

RASA L THARP OD

Original Issue Date

11/20/2009

Effective Date

11/20/2009

Expiration Date

03/31/2010

City

CHICAGO

State

Zip

60638

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010