DINA RUTH DAVIS OD Optometrist License verification

Business Entity

INOPERATIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047925395

License Status

INOPERATIVE

Business

First Name

DINA

Middle

RUTH

Last Name

DAVIS

Suffix

Business Name

DINA RUTH DAVIS OD

Original Issue Date

07/16/1997

Effective Date

12/08/2003

Expiration Date

03/31/2004

City

EVERGREEN PARK

State

Zip

60805

County

COOK

Ever Disciplined

LastModifiedDate

09/01/2005