KIMBERLY A GROSSI OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047028542

License Status

NOT RENEWED

Business

First Name

KIMBERLY

Middle

Last Name

GROSSI

Suffix

Business Name

KIMBERLY A GROSSI OD

Original Issue Date

07/22/1996

Expiration Date

03/31/1998

City

NORTHLAKE

State

Zip

60164

County

COOK

Ever Disciplined

LastModifiedDate

09/01/2005