ALICE RENEE DAHL OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047933064

License Status

NOT RENEWED

Business

Title

First Name

ALICE

Middle

RENEE

Last Name

DAHL

Business Name

ALICE RENEE DAHL OD

Original Issue Date

06/07/2007

Effective Date

06/07/2007

Expiration Date

03/31/2008

City

NILES

State

Zip

60714

County

COOK

Ever Disciplined

LastModifiedDate

05/02/2008