DAWN M BIRCH OD - Optometrist License in Illinois | # 047926262

DAWN M BIRCH OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047926262

License Status

NOT RENEWED

Business

N

First Name

DAWN

Middle

M

Last Name

BIRCH

Suffix

OD

Business Name

DAWN M BIRCH OD

Original Issue Date

06/11/1999

Effective Date

04/15/2002

Expiration Date

03/31/2002

State

IL

Ever Disciplined

N

LastModifiedDate

09/11/2005