LISANNE CLOSE OD - Optometrist License in Illinois | # 047925442

LISANNE CLOSE OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047925442

License Status

NOT RENEWED

Business

N

First Name

LISANNE

Last Name

CLOSE

Suffix

OD

Business Name

LISANNE CLOSE OD

Original Issue Date

09/24/1997

Effective Date

05/18/2000

Expiration Date

03/31/2000

State

IL

Ever Disciplined

N

LastModifiedDate

09/11/2005