MICHELE LEE BENCKS Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047928923

License Status

NOT RENEWED

Business

First Name

MICHELE

Middle

LEE

Last Name

BENCKS

Business Name

MICHELE LEE BENCKS

Original Issue Date

08/29/2002

Effective Date

06/04/2004

Expiration Date

03/31/2004

City

CHICAGO

State

Zip

60601

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2005