DINA RUTH DAVIS OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047925354

License Status

NOT RENEWED

Business

First Name

DINA

Middle

RUTH

Last Name

DAVIS

Suffix

Business Name

DINA RUTH DAVIS OD

Original Issue Date

06/16/1997

Effective Date

04/15/2002

Expiration Date

03/31/2002

City

MOUNT PROSPECT

State

Zip

60056

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2005