CHRISTOPHER JOSEPH DEROSE OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047929763

License Status

NOT RENEWED

Business

First Name

CHRISTOPHER

Middle

JOSEPH

Last Name

DEROSE

Suffix

Business Name

CHRISTOPHER JOSEPH DEROSE OD

Original Issue Date

10/16/2003

Effective Date

06/04/2004

Expiration Date

03/31/2004

City

GURNEE

State

Zip

60031

County

LAKE

Ever Disciplined

LastModifiedDate

09/11/2005