AMAL M HASSAN OD Optometrist License verification

Business Entity

INACTIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046009722

License Status

INACTIVE

Business

First Name

AMAL

Middle

Last Name

HASSAN

Suffix

Business Name

AMAL M HASSAN OD

Original Issue Date

10/04/2004

Effective Date

10/03/2006

Expiration Date

03/31/2008

City

INDIANAPOLIS

State

Zip

46254

Ever Disciplined

LastModifiedDate

01/10/2008