SUSAN M PENNER OD - Optometrist License in Illinois | # 047933293

SUSAN M PENNER OD

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047933293

License Status

CANCELLED

Business

N

First Name

SUSAN M

Last Name

PENNER

Suffix

OD

Business Name

SUSAN M PENNER OD

Original Issue Date

08/13/2007

Effective Date

01/10/2008

Expiration Date

03/31/2010

State

IL

Ever Disciplined

N

LastModifiedDate

05/04/2010