ANNE T GOUDANIS OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047928235

License Status

NOT RENEWED

Business

First Name

ANNE

Middle

Last Name

GOUDANIS

Suffix

Business Name

ANNE T GOUDANIS OD

Original Issue Date

10/17/2001

Effective Date

06/04/2004

Expiration Date

03/31/2004

City

ORLAND PARK

State

Zip

60462

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2005