LISANNE CLOSE OD - Optometrist License in Illinois | # 047929187

LISANNE CLOSE OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047929187

License Status

NOT RENEWED

Business

N

First Name

LISANNE

Last Name

CLOSE

Suffix

OD

Business Name

LISANNE CLOSE OD

Original Issue Date

12/04/2002

Effective Date

12/04/2002

Expiration Date

03/31/2004

State

IL

Ever Disciplined

N

LastModifiedDate

09/11/2005