DIANNE M ANDERSON OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047929952

License Status

NOT RENEWED

Business

First Name

DIANNE M

Last Name

ANDERSON

Suffix

Business Name

DIANNE M ANDERSON OD

Original Issue Date

01/16/2004

Effective Date

01/18/2006

Expiration Date

03/31/2008

City

ORLAND PARK

State

Zip

60462

County

COOK

Ever Disciplined

LastModifiedDate

05/02/2008