ERICA DANIELLE BENNEHOFF OD - Optometrist License in Illinois | # 047929748

ERICA DANIELLE BENNEHOFF OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047929748

License Status

NOT RENEWED

Business

N

Title

OD

First Name

ERICA

Middle

DANIELLE

Last Name

BENNEHOFF

Business Name

ERICA DANIELLE BENNEHOFF OD

Original Issue Date

10/16/2003

Effective Date

03/10/2004

Expiration Date

03/31/2006

State

IL

Ever Disciplined

N

LastModifiedDate

05/11/2006