DEAN A BAUER OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047930905

License Status

CANCELLED

Business

First Name

DEAN

Middle

Last Name

BAUER

Suffix

Business Name

DEAN A BAUER OD

Original Issue Date

02/25/2005

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

CALUMET CITY

State

Zip

60409

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010