DIANE MARIE SLOTEMAKER OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047930079

License Status

NOT RENEWED

Business

First Name

DIANE

Middle

MARIE

Last Name

SLOTEMAKER

Suffix

Business Name

DIANE MARIE SLOTEMAKER OD

Original Issue Date

04/07/2004

Effective Date

04/07/2004

Expiration Date

03/31/2006

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2006