ALICIA DENEE DERRY OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047928080

License Status

NOT RENEWED

Business

First Name

ALICIA

Middle

DENEE

Last Name

DERRY

Suffix

Business Name

ALICIA DENEE DERRY OD

Original Issue Date

08/21/2001

Effective Date

06/04/2004

Expiration Date

03/31/2004

City

AURORA

State

Zip

60505

County

KANE

Ever Disciplined

LastModifiedDate

09/11/2005