AZZRAH THOBANI OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047935898

License Status

CANCELLED

Business

First Name

AZZRAH

Last Name

THOBANI

Suffix

Business Name

AZZRAH THOBANI OD

Original Issue Date

12/10/2009

Effective Date

12/10/2009

Expiration Date

03/31/2010

City

ORLAND PARK

State

Zip

60462

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010