ALICE RENEE DAHL OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047931852

License Status

NOT RENEWED

Business

Title

First Name

ALICE

Middle

RENEE

Last Name

DAHL

Business Name

ALICE RENEE DAHL OD

Original Issue Date

03/27/2006

Effective Date

03/27/2006

Expiration Date

03/31/2008

City

CARPENTERSVILLE

State

Zip

60110

County

KANE

Ever Disciplined

LastModifiedDate

05/02/2008