KENT MICHAEL DAUM OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046010166

License Status

NOT RENEWED

Business

Title

First Name

KENT

Middle

MICHAEL

Last Name

DAUM

Business Name

KENT MICHAEL DAUM OD

Original Issue Date

10/02/2008

Effective Date

02/25/2010

Expiration Date

03/31/2012

City

CHICAGO

State

Zip

60616

County

COOK

Ever Disciplined

LastModifiedDate

05/16/2012