DIANE MARIE SLOTEMAKER OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047930514

License Status

CANCELLED

Business

First Name

DIANE

Middle

MARIE

Last Name

SLOTEMAKER

Suffix

Business Name

DIANE MARIE SLOTEMAKER OD

Original Issue Date

08/19/2004

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

CHICAGO

State

Zip

60610

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010