LISANNE CLOSE OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047925444

License Status

NOT RENEWED

Business

First Name

LISANNE

Last Name

Suffix

Business Name

LISANNE CLOSE OD

Original Issue Date

09/24/1997

Effective Date

06/12/1999

Expiration Date

03/31/1998

City

MUNDELEIN

State

Zip

60060

County

LAKE

Ever Disciplined

LastModifiedDate

09/01/2005