DEAN A BAUER OD - Optometrist License in Illinois | # 047930555

DEAN A BAUER OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047930555

License Status

NOT RENEWED

Business

N

First Name

DEAN

Middle

A

Last Name

BAUER

Suffix

OD

Business Name

DEAN A BAUER OD

Original Issue Date

09/02/2004

Effective Date

09/02/2004

Expiration Date

03/31/2006

State

IL

Ever Disciplined

N

LastModifiedDate

05/11/2006