ALICE RENEE DAHL OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047926534

License Status

NOT RENEWED

Business

Title

First Name

ALICE

Middle

RENEE

Last Name

DAHL

Business Name

ALICE RENEE DAHL OD

Original Issue Date

10/21/1999

Effective Date

04/15/2002

Expiration Date

03/31/2002

City

GENEVA

State

Zip

60134

County

KANE

Ever Disciplined

LastModifiedDate

09/11/2005