ERICA DANIELLE BENNEHOFF OD - Optometrist License in Illinois | # 047929802

ERICA DANIELLE BENNEHOFF OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047929802

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

10/27/2003

Effective Date

06/04/2004

Expiration Date

03/31/2004

State

IL

Ever Disciplined

N

LastModifiedDate

09/11/2005