DANIEL J MEDEMA OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047008031

License Status

NOT RENEWED

Business

First Name

DANIEL

Middle

Last Name

MEDEMA

Suffix

Business Name

DANIEL J MEDEMA OD

Original Issue Date

03/09/1990

Expiration Date

03/31/1998

City

NILES

State

Zip

60648

County

COOK

Ever Disciplined

LastModifiedDate

09/01/2005