DALE J SWETLISHNOFF OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047930676

License Status

NOT RENEWED

Business

Title

First Name

DALE

Middle

Last Name

SWETLISHNOFF

Business Name

DALE J SWETLISHNOFF OD

Original Issue Date

10/08/2004

Effective Date

10/08/2004

Expiration Date

03/31/2006

City

JERSEYVILLE

State

Zip

62052

County

JERSEY

Ever Disciplined

LastModifiedDate

05/11/2006