DINA RUTH DAVIS OD - Optometrist License in Illinois | # 047925354

DINA RUTH DAVIS OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047925354

License Status

NOT RENEWED

Business

N

First Name

DINA

Middle

RUTH

Last Name

DAVIS

Suffix

OD

Business Name

DINA RUTH DAVIS OD

Original Issue Date

06/16/1997

Effective Date

04/15/2002

Expiration Date

03/31/2002

State

IL

Ever Disciplined

N

LastModifiedDate

09/11/2005