DAWN M BIRCH OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047926596

License Status

NOT RENEWED

Business

First Name

DAWN

Middle

Last Name

BIRCH

Suffix

Business Name

DAWN M BIRCH OD

Original Issue Date

11/19/1999

Effective Date

05/18/2000

Expiration Date

03/31/2000

City

SKOKIE

State

Zip

60077

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2005