DAWN ELIZABETH WICKIZER Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047928052

License Status

NOT RENEWED

Business

First Name

DAWN

Middle

ELIZABETH

Last Name

WICKIZER

Business Name

DAWN ELIZABETH WICKIZER

Original Issue Date

08/15/2001

Effective Date

06/04/2004

Expiration Date

03/31/2004

City

OAK PARK

State

Zip

60302

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2005