RICHARD JOHN DYKSTRA OD - Optometrist License in Illinois | # 047007176

RICHARD JOHN DYKSTRA OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047007176

License Status

NOT RENEWED

Business

N

First Name

RICHARD

Middle

JOHN

Last Name

DYKSTRA

Suffix

OD

Business Name

RICHARD JOHN DYKSTRA OD

Original Issue Date

09/04/1980

Expiration Date

05/01/1982

State

IL

Ever Disciplined

N

LastModifiedDate

09/01/2005