MELANIE ANN RILEY OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047928384

License Status

NOT RENEWED

Business

First Name

MELANIE

Middle

ANN

Last Name

RILEY

Suffix

Business Name

MELANIE ANN RILEY OD

Original Issue Date

01/29/2002

Effective Date

06/04/2004

Expiration Date

03/31/2004

City

CALUMET CITY

State

Zip

60409

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2005