AMY JOANNE KNICKERBOCKER OD - Optometrist License in Illinois | # 047927823

AMY JOANNE KNICKERBOCKER OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047927823

License Status

NOT RENEWED

Business

N

First Name

AMY

Middle

JOANNE

Last Name

KNICKERBOCKER

Suffix

OD

Business Name

AMY JOANNE KNICKERBOCKER OD

Original Issue Date

03/29/2001

Effective Date

04/15/2002

Expiration Date

03/31/2002

State

IL

Ever Disciplined

N

LastModifiedDate

09/11/2005