DAWN ELIZABETH WICKIZER - Optometrist License in Illinois | # 047930076

DAWN ELIZABETH WICKIZER

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047930076

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

05/11/2006