DAWN ELIZABETH WICKIZER Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047930076

License Status

NOT RENEWED

Business

First Name

DAWN

Middle

ELIZABETH

Last Name

WICKIZER

Business Name

DAWN ELIZABETH WICKIZER

Original Issue Date

04/06/2004

Effective Date

04/06/2004

Expiration Date

03/31/2006

City

NILES

State

Zip

60714

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2006