ANDREA J JOHNSON GROTE - Optometrist License in Illinois | # 047927951

ANDREA J JOHNSON GROTE

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047927951

License Status

NOT RENEWED

Business

N

First Name

ANDREA

Middle

J

Last Name

JOHNSON GROTE

Business Name

ANDREA J JOHNSON GROTE

Original Issue Date

06/01/2001

Effective Date

04/15/2002

Expiration Date

03/31/2002

State

IL

Ever Disciplined

N

LastModifiedDate

09/11/2005