DIANE MARIE SLOTEMAKER OD - Optometrist License in Illinois | # 047935396

DIANE MARIE SLOTEMAKER OD

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047935396

License Status

CANCELLED

Business

N

First Name

DIANE

Middle

MARIE

Last Name

SLOTEMAKER

Suffix

OD

Business Name

DIANE MARIE SLOTEMAKER OD

Original Issue Date

06/08/2009

Effective Date

06/08/2009

Expiration Date

03/31/2010

State

IL

Ever Disciplined

N

LastModifiedDate

05/04/2010