DIANNE M ANDERSON OD - Optometrist License in Illinois | # 047929140

DIANNE M ANDERSON OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047929140

License Status

NOT RENEWED

Business

N

First Name

DIANNE M

Last Name

ANDERSON

Suffix

OD

Business Name

DIANNE M ANDERSON OD

Original Issue Date

11/14/2002

Effective Date

06/04/2004

Expiration Date

03/31/2004

State

IL

Ever Disciplined

N

LastModifiedDate

09/11/2005