DIANNE M ANDERSON OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047929632

License Status

NOT RENEWED

Business

First Name

DIANNE M

Last Name

ANDERSON

Suffix

Business Name

DIANNE M ANDERSON OD

Original Issue Date

08/14/2003

Effective Date

03/09/2004

Expiration Date

03/31/2006

City

WEST DUNDEE

State

Zip

60118

County

KANE

Ever Disciplined

LastModifiedDate

05/11/2006