KRISTEN G RANDALL OD - Optometrist License in Illinois | # 047926352

KRISTEN G RANDALL OD

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047926352

License Status

CANCELLED

Business

N

First Name

KRISTEN G

Last Name

RANDALL

Suffix

OD

Business Name

KRISTEN G RANDALL OD

Original Issue Date

08/26/1999

Effective Date

06/09/2008

Expiration Date

03/31/2010

State

IL

Ever Disciplined

N

LastModifiedDate

05/04/2010