LISANNE CLOSE OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047925445

License Status

NOT RENEWED

Business

First Name

LISANNE

Last Name

Suffix

Business Name

LISANNE CLOSE OD

Original Issue Date

09/24/1997

Effective Date

05/18/2000

Expiration Date

03/31/2000

City

DOWNERS GROVE

State

Zip

60515

County

DUPAGE

Ever Disciplined

LastModifiedDate

09/11/2005