KRISTIN LEIGH HAM OD - Optometrist License in Illinois | # 047930957

KRISTIN LEIGH HAM OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047930957

License Status

NOT RENEWED

Business

N

First Name

KRISTIN

Middle

LEIGH

Last Name

HAM

Suffix

OD

Business Name

KRISTIN LEIGH HAM OD

Original Issue Date

03/10/2005

Effective Date

03/10/2005

Expiration Date

03/31/2006

State

IL

Ever Disciplined

N

LastModifiedDate

05/11/2006