DIANE MARIE SLOTEMAKER OD - Optometrist License in Illinois | # 047930079

DIANE MARIE SLOTEMAKER OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047930079

License Status

NOT RENEWED

Business

N

First Name

DIANE

Middle

MARIE

Last Name

SLOTEMAKER

Suffix

OD

Business Name

DIANE MARIE SLOTEMAKER OD

Original Issue Date

04/07/2004

Effective Date

04/07/2004

Expiration Date

03/31/2006

State

IL

Ever Disciplined

N

LastModifiedDate

05/11/2006