STACY ANNE TWENHAFEL OD - Optometrist License in Illinois | # 047930900

STACY ANNE TWENHAFEL OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047930900

License Status

NOT RENEWED

Business

N

First Name

STACY

Middle

ANNE

Last Name

TWENHAFEL

Suffix

OD

Business Name

STACY ANNE TWENHAFEL OD

Original Issue Date

02/17/2005

Effective Date

02/17/2005

Expiration Date

03/31/2006

State

IL

Ever Disciplined

N

LastModifiedDate

05/11/2006