STACY ANNE TWENHAFEL OD - Optometrist License in Illinois | # 047931600

STACY ANNE TWENHAFEL OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047931600

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

11/07/2005

Effective Date

01/18/2006

Expiration Date

03/31/2008

State

IL

Ever Disciplined

N

LastModifiedDate

05/02/2008