KELLY A RAETHER OD - Optometrist License in Illinois | # 047931565

KELLY A RAETHER OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047931565

License Status

NOT RENEWED

Business

N

First Name

KELLY

Middle

A

Last Name

RAETHER

Suffix

OD

Business Name

KELLY A RAETHER OD

Original Issue Date

10/18/2005

Effective Date

10/18/2005

Expiration Date

03/31/2006

State

IL

Ever Disciplined

N

LastModifiedDate

01/18/2006