SAMANTHA KRYSTYNE FORDYCE - Optometrist License in Illinois | # 046010941

SAMANTHA KRYSTYNE FORDYCE

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046010941

License Status

NOT RENEWED

Business

N

First Name

SAMANTHA

Middle

KRYSTYNE

Last Name

FORDYCE

Business Name

SAMANTHA KRYSTYNE FORDYCE

Original Issue Date

07/23/2015

Effective Date

02/08/2016

Expiration Date

03/31/2018

State

IL

Ever Disciplined

N

LastModifiedDate

06/19/2018