DANIEL J MEDEMA OD - Optometrist License in Illinois | # 047008031

DANIEL J MEDEMA OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047008031

License Status

NOT RENEWED

Business

N

First Name

DANIEL

Middle

J

Last Name

MEDEMA

Suffix

OD

Business Name

DANIEL J MEDEMA OD

Original Issue Date

03/09/1990

Expiration Date

03/31/1998

State

IL

Ever Disciplined

N

LastModifiedDate

09/01/2005