DIRK F MASSIE OD - Optometrist License in Illinois | # 047928465

DIRK F MASSIE OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047928465

License Status

NOT RENEWED

Business

N

First Name

DIRK

Middle

F

Last Name

MASSIE

Suffix

OD

Business Name

DIRK F MASSIE OD

Original Issue Date

03/01/2002

Effective Date

06/04/2004

Expiration Date

03/31/2004

State

IL

Ever Disciplined

N

LastModifiedDate

09/11/2005