ALICIA DENEE DERRY OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047927355

License Status

NOT RENEWED

Business

First Name

ALICIA

Middle

DENEE

Last Name

DERRY

Suffix

Business Name

ALICIA DENEE DERRY OD

Original Issue Date

08/24/2000

Effective Date

04/15/2002

Expiration Date

03/31/2002

City

OAKBROOK

State

Zip

60521

County

DUPAGE

Ever Disciplined

LastModifiedDate

09/11/2005