RICHARD JOHN DYKSTRA OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046007176

License Status

NOT RENEWED

Business

First Name

RICHARD

Middle

JOHN

Last Name

DYKSTRA

Suffix

Business Name

RICHARD JOHN DYKSTRA OD

Original Issue Date

08/06/1979

Effective Date

03/25/2016

Expiration Date

03/31/2018

City

WORTH

State

Zip

60482

County

COOK

Ever Disciplined

LastModifiedDate

06/19/2018