DENNIS W RABE OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047931868

License Status

CANCELLED

Business

First Name

DENNIS

Middle

Last Name

RABE

Suffix

Business Name

DENNIS W RABE OD

Original Issue Date

03/29/2006

Effective Date

06/05/2009

Expiration Date

03/31/2010

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/04/2010