DALE J SWETLISHNOFF OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047931018

License Status

NOT RENEWED

Business

Title

First Name

DALE

Middle

Last Name

SWETLISHNOFF

Business Name

DALE J SWETLISHNOFF OD

Original Issue Date

03/10/2005

Effective Date

01/18/2006

Expiration Date

03/31/2008

City

GLEN CARBON

State

Zip

62034

County

MADISON

Ever Disciplined

LastModifiedDate

05/02/2008