BREEZE EVELYN BELLEN OD - Optometrist License in Illinois | # 047932683

BREEZE EVELYN BELLEN OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047932683

License Status

NOT RENEWED

Business

N

First Name

BREEZE

Middle

EVELYN

Last Name

BELLEN

Suffix

OD

Business Name

BREEZE EVELYN BELLEN OD

Original Issue Date

11/22/2006

Effective Date

11/22/2006

Expiration Date

03/31/2008

State

IL

Ever Disciplined

N

LastModifiedDate

05/02/2008