KRISTEN G RANDALL OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047927848

License Status

NOT RENEWED

Business

First Name

KRISTEN G

Last Name

RANDALL

Suffix

Business Name

KRISTEN G RANDALL OD

Original Issue Date

05/01/2001

Effective Date

04/15/2002

Expiration Date

03/31/2002

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2005