CHRISTOPHER JOSEPH DEROSE OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047927896

License Status

NOT RENEWED

Business

First Name

CHRISTOPHER

Middle

JOSEPH

Last Name

DEROSE

Suffix

Business Name

CHRISTOPHER JOSEPH DEROSE OD

Original Issue Date

05/15/2001

Effective Date

04/15/2002

Expiration Date

03/31/2002

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2005