ANGIE ABDALLAH GHANAYEM OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****65

License Status

NOT RENEWED

Business

First Name

ANGIE

Middle

ABDALLAH

Last Name

GHANAYEM

Suffix

Business Name

ANGIE ABDALLAH GHANAYEM OD

Original Issue Date

11/16/2007

Effective Date

11/16/2007

Expiration Date

03/31/2008

City

NILES

State

Zip

60714

County

COOK

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

05/02/2008