ANDREA J JOHNSON GROTE - Optometrist License in Illinois | # 047926358

ANDREA J JOHNSON GROTE

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047926358

License Status

NOT RENEWED

Business

N

First Name

ANDREA

Middle

J

Last Name

JOHNSON GROTE

Business Name

ANDREA J JOHNSON GROTE

Original Issue Date

09/02/1999

Effective Date

06/09/2004

Expiration Date

03/31/2006

State

IL

Ever Disciplined

N

LastModifiedDate

05/11/2006