ALICE S HANES OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047926618

License Status

NOT RENEWED

Business

First Name

ALICE

Middle

Last Name

HANES

Suffix

Business Name

ALICE S HANES OD

Original Issue Date

11/29/1999

Effective Date

05/18/2000

Expiration Date

03/31/2000

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

09/11/2005