HEATHER JO ERICKSON OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047926950

License Status

NOT RENEWED

Business

First Name

HEATHER

Middle

Last Name

ERICKSON

Suffix

Business Name

HEATHER JO ERICKSON OD

Original Issue Date

04/10/2000

Effective Date

04/15/2002

Expiration Date

03/31/2002

City

STREATOR

State

Zip

61364

County

LA SALLE

Ever Disciplined

LastModifiedDate

09/11/2005