LORETTA LYNN DEKOSTER OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047926136

License Status

NOT RENEWED

Business

First Name

LORETTA

Middle

LYNN

Last Name

DEKOSTER

Suffix

Business Name

LORETTA LYNN DEKOSTER OD

Original Issue Date

03/01/1999

Effective Date

05/18/2000

Expiration Date

03/31/2000

City

WILMETTE

State

Zip

60091

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2005