DARCY LYNN GROSTICK Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047932496

License Status

CANCELLED

Business

First Name

DARCY

Middle

LYNN

Last Name

GROSTICK

Business Name

DARCY LYNN GROSTICK

Original Issue Date

09/05/2006

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

CHICAGO

State

Zip

60639

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010