STACY ELLEN CORIN OLSWANG OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047926857

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

03/16/2000

Effective Date

04/15/2002

Expiration Date

03/31/2002

City

MELROSE PARK

State

Zip

60160

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2005