DAWN ELIZABETH WICKIZER Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047928344

License Status

NOT RENEWED

Business

First Name

DAWN

Middle

ELIZABETH

Last Name

WICKIZER

Business Name

DAWN ELIZABETH WICKIZER

Original Issue Date

12/19/2001

Effective Date

02/06/2004

Expiration Date

03/31/2006

City

BLOOMINGDALE

State

Zip

60108

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/11/2006