LISANNE CLOSE OD - Optometrist License in Illinois | # 047933834

LISANNE CLOSE OD

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047933834

License Status

CANCELLED

Business

N

First Name

LISANNE

Last Name

CLOSE

Suffix

OD

Business Name

LISANNE CLOSE OD

Original Issue Date

03/10/2008

Effective Date

03/10/2008

Expiration Date

03/31/2010

State

IL

Ever Disciplined

N

LastModifiedDate

05/04/2010