MICHELLE ROSE WILLENBRING OD - Optometrist License in Illinois | # 047931184

MICHELLE ROSE WILLENBRING OD

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047931184

License Status

CANCELLED

Business

N

First Name

MICHELLE

Middle

ROSE

Last Name

WILLENBRING

Suffix

OD

Business Name

MICHELLE ROSE WILLENBRING OD

Original Issue Date

05/13/2005

Effective Date

01/10/2008

Expiration Date

03/31/2010

State

IL

Ever Disciplined

N

LastModifiedDate

05/04/2010