STACY ELLEN CORIN OLSWANG OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047926398

License Status

NOT RENEWED

Business

Title

First Name

STACY

Middle

ELLEN CORIN

Last Name

OLSWANG

Business Name

STACY ELLEN CORIN OLSWANG OD

Original Issue Date

09/24/1999

Effective Date

05/18/2000

Expiration Date

03/31/2000

City

NAPERVILLE

State

Zip

60540

County

DUPAGE

Ever Disciplined

LastModifiedDate

09/11/2005