IVETTA SUE DACCACHE OD - Optometrist License in Illinois | # 047931217

IVETTA SUE DACCACHE OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047931217

License Status

NOT RENEWED

Business

N

First Name

IVETTA

Middle

SUE

Last Name

DACCACHE

Suffix

OD

Business Name

IVETTA SUE DACCACHE OD

Original Issue Date

05/31/2005

Effective Date

05/31/2005

Expiration Date

03/31/2006

State

IL

Ever Disciplined

N

LastModifiedDate

05/11/2006