DENA LYNN BACHMAN OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047925250

License Status

NOT RENEWED

Business

First Name

DENA

Middle

LYNN

Last Name

BACHMAN

Suffix

Business Name

DENA LYNN BACHMAN OD

Original Issue Date

03/13/1997

Effective Date

06/04/2004

Expiration Date

03/31/2004

City

STAUNTON

State

Zip

62088

County

MACOUPIN

Ever Disciplined

LastModifiedDate

09/11/2005