KRISTEN G RANDALL OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047926352

License Status

CANCELLED

Business

First Name

KRISTEN G

Last Name

RANDALL

Suffix

Business Name

KRISTEN G RANDALL OD

Original Issue Date

08/26/1999

Effective Date

06/09/2008

Expiration Date

03/31/2010

City

EVANSTON

State

Zip

60201

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010