NANCY L HETLAND OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047928387

License Status

NOT RENEWED

Business

First Name

NANCY

Middle

Last Name

HETLAND

Suffix

Business Name

NANCY L HETLAND OD

Original Issue Date

01/29/2002

Effective Date

06/04/2004

Expiration Date

03/31/2004

City

LAKE BLUFF

State

Zip

60044

County

LAKE

Ever Disciplined

LastModifiedDate

09/11/2005