DAWN M BIRCH OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047926262

License Status

NOT RENEWED

Business

First Name

DAWN

Middle

Last Name

BIRCH

Suffix

Business Name

DAWN M BIRCH OD

Original Issue Date

06/11/1999

Effective Date

04/15/2002

Expiration Date

03/31/2002

City

SKOKIE

State

Zip

60077

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2005