BRANT T MOLENAAR OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047926125

License Status

NOT RENEWED

Business

First Name

BRANT T

Last Name

MOLENAAR

Suffix

Business Name

BRANT T MOLENAAR OD

Original Issue Date

02/23/1999

Effective Date

06/04/2004

Expiration Date

03/31/2004

City

WESTCHESTER

State

Zip

60154

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2005