DIANNE M ANDERSON OD - Optometrist License in Illinois | # 047930418

DIANNE M ANDERSON OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047930418

License Status

NOT RENEWED

Business

N

First Name

DIANNE M

Last Name

ANDERSON

Suffix

OD

Business Name

DIANNE M ANDERSON OD

Original Issue Date

08/12/2004

Effective Date

01/18/2006

Expiration Date

03/31/2008

State

IL

Ever Disciplined

N

LastModifiedDate

05/02/2008