RANDALL R RICKETTS Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047932299

License Status

CANCELLED

Business

First Name

RANDALL R

Last Name

RICKETTS

Business Name

RANDALL R RICKETTS

Original Issue Date

06/05/2006

Effective Date

07/29/2008

Expiration Date

03/31/2010

City

CHICAGO

State

Zip

60626

County

LAKE

Ever Disciplined

LastModifiedDate

05/04/2010