DINA RUTH DAVIS OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047927278

License Status

CANCELLED

Business

First Name

DINA

Middle

RUTH

Last Name

DAVIS

Suffix

Business Name

DINA RUTH DAVIS OD

Original Issue Date

07/21/2000

Effective Date

12/08/2003

Expiration Date

03/31/2004

City

CHICAGO

State

Zip

60603

County

COOK

Ever Disciplined

LastModifiedDate

09/01/2005