STACY ELLEN CORIN OLSWANG OD - Optometrist License in Illinois | # 047935792

STACY ELLEN CORIN OLSWANG OD

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047935792

License Status

CANCELLED

Business

N

Title

OD

First Name

STACY

Middle

ELLEN CORIN

Last Name

OLSWANG

Business Name

STACY ELLEN CORIN OLSWANG OD

Original Issue Date

10/19/2009

Effective Date

10/19/2009

Expiration Date

03/31/2010

State

IL

Ever Disciplined

N

LastModifiedDate

05/04/2010