LORETTA LYNN DEKOSTER OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047932403

License Status

CANCELLED

Business

First Name

LORETTA

Middle

LYNN

Last Name

DEKOSTER

Suffix

Business Name

LORETTA LYNN DEKOSTER OD

Original Issue Date

07/07/2006

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

CHICAGO

State

Zip

60604

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010