AMY HANSEN PIKO OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047931476

License Status

CANCELLED

Business

Title

First Name

AMY

Middle

HANSEN

Last Name

PIKO

Business Name

AMY HANSEN PIKO OD

Original Issue Date

08/25/2005

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

TINLEY PARK

State

Zip

60477

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010