DINA RUTH DAVIS OD - Optometrist License in Illinois | # 046008836

DINA RUTH DAVIS OD

Business Entity

INACTIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046008836

License Status

INACTIVE

Business

N

First Name

DINA

Middle

RUTH

Last Name

DAVIS

Suffix

OD

Business Name

DINA RUTH DAVIS OD

Original Issue Date

09/06/1995

Effective Date

12/08/2003

Expiration Date

03/31/2004

State

IL

Ever Disciplined

Y

LastModifiedDate

09/11/2005

Case Number

1997050259

Action

Fine

Discipline Start Date

08/19/1997

Discipline Reason

Practicing optometry at a location for which she did not have an ancillary license.