DIANNE M ANDERSON OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047929660

License Status

NOT RENEWED

Business

First Name

DIANNE M

Last Name

ANDERSON

Suffix

Business Name

DIANNE M ANDERSON OD

Original Issue Date

09/17/2003

Effective Date

06/04/2004

Expiration Date

03/31/2004

City

BATAVIA

State

Zip

60510

County

KANE

Ever Disciplined

LastModifiedDate

09/11/2005