ANGELA VICKI TO OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046010497

License Status

NOT RENEWED

Business

Title

First Name

ANGELA

Middle

VICKI

Last Name

Business Name

ANGELA VICKI TO OD

Original Issue Date

07/19/2011

Effective Date

03/15/2016

Expiration Date

03/31/2018

City

CHICAGO

State

Zip

60616

County

COOK

Ever Disciplined

LastModifiedDate

06/19/2018