DAWN M BIRCH OD - Optometrist License in Illinois | # 047927906

DAWN M BIRCH OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047927906

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

05/24/2001

Effective Date

06/04/2004

Expiration Date

03/31/2004

State

IL

Ever Disciplined

N

LastModifiedDate

09/11/2005