Ansu Mariam Nathan
InactiveIllinois license 046010812
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 046010812
- Status
- Inactive
- First issued
- June 12, 2014
- Expired
- September 30, 2020
- License holder
- Ansu Mariam Nathan
- Entity type
- Individual
Classifications
- Licensed Optometrist (Optometry) Vision & Hearing
More from the license record
- Current term began
- 02/01/2018
Contact
Mount Prospect, IL 60056
Cook County