IVETTA SUE DACCACHE OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047932618

License Status

NOT RENEWED

Business

First Name

IVETTA

Middle

SUE

Last Name

DACCACHE

Suffix

Business Name

IVETTA SUE DACCACHE OD

Original Issue Date

11/06/2006

Effective Date

11/06/2006

Expiration Date

03/31/2008

City

ROCK ISLAND

State

Zip

61201

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

05/02/2008