DANIEL J MEDEMA OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047932192

License Status

NOT RENEWED

Business

First Name

DANIEL

Middle

Last Name

MEDEMA

Suffix

Business Name

DANIEL J MEDEMA OD

Original Issue Date

04/25/2006

Effective Date

04/25/2006

Expiration Date

03/31/2008

City

SCHAUMBURG

State

Zip

60173

County

COOK

Ever Disciplined

LastModifiedDate

05/02/2008