DINA RUTH DAVIS OD Optometrist License verification

Business Entity

INACTIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046008836

License Status

INACTIVE

Business

First Name

DINA

Middle

RUTH

Last Name

DAVIS

Suffix

Business Name

DINA RUTH DAVIS OD

Original Issue Date

09/06/1995

Effective Date

12/08/2003

Expiration Date

03/31/2004

City

MOUNT PROSPECT

State

Zip

60056

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2005

Case Number

1997050259

Action

Fine

Discipline Start Date

08/19/1997

Discipline Reason

Practicing optometry at a location for which she did not have an ancillary license.