KRISTEN G RANDALL OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047008715

License Status

NOT RENEWED

Business

First Name

KRISTEN G

Last Name

RANDALL

Suffix

Business Name

KRISTEN G RANDALL OD

Original Issue Date

09/27/1994

Effective Date

04/15/2002

Expiration Date

03/31/2002

City

EVANSTON

State

Zip

60201

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2005