MELISSA MARY DEGROOT OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047930087

License Status

NOT RENEWED

Business

First Name

MELISSA

Middle

MARY

Last Name

DEGROOT

Suffix

Business Name

MELISSA MARY DEGROOT OD

Original Issue Date

04/08/2004

Effective Date

04/08/2004

Expiration Date

03/31/2006

City

PALATINE

State

Zip

60067

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2006