SANDRA BETTY WU OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047930756

License Status

NOT RENEWED

Business

First Name

SANDRA

Middle

BETTY

Last Name

Suffix

Business Name

SANDRA BETTY WU OD

Original Issue Date

11/30/2004

Effective Date

11/30/2004

Expiration Date

03/31/2006

City

CALUMET CITY

State

Zip

60409

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2006