CATHERINE M STACK OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047930328

License Status

CANCELLED

Business

First Name

CATHERINE

Middle

Last Name

STACK

Suffix

Business Name

CATHERINE M STACK OD

Original Issue Date

06/23/2004

Effective Date

01/18/2006

Expiration Date

03/31/2008

City

AURORA

State

Zip

60504

County

DUPAGE

Ever Disciplined

LastModifiedDate

02/04/2008