DINA RUTH DAVIS OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047926276

License Status

NOT RENEWED

Business

First Name

DINA

Middle

RUTH

Last Name

DAVIS

Suffix

Business Name

DINA RUTH DAVIS OD

Original Issue Date

06/23/1999

Effective Date

05/18/2000

Expiration Date

03/31/2000

City

CHICAGO

State

Zip

60646

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2005