BRANT T MOLENAAR OD - Optometrist License in Illinois | # 047926125

BRANT T MOLENAAR OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047926125

License Status

NOT RENEWED

Business

N

First Name

BRANT T

Last Name

MOLENAAR

Suffix

OD

Business Name

BRANT T MOLENAAR OD

Original Issue Date

02/23/1999

Effective Date

06/04/2004

Expiration Date

03/31/2004

State

IL

Ever Disciplined

N

LastModifiedDate

09/11/2005