LISANNE CLOSE OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047929187

License Status

NOT RENEWED

Business

First Name

LISANNE

Last Name

Suffix

Business Name

LISANNE CLOSE OD

Original Issue Date

12/04/2002

Effective Date

12/04/2002

Expiration Date

03/31/2004

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2005