KELLY A RAETHER OD - Optometrist License in Illinois | # 047933406

KELLY A RAETHER OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047933406

License Status

NOT RENEWED

Business

N

First Name

KELLY

Middle

A

Last Name

RAETHER

Suffix

OD

Business Name

KELLY A RAETHER OD

Original Issue Date

09/24/2007

Effective Date

09/24/2007

Expiration Date

03/31/2008

State

IL

Ever Disciplined

N

LastModifiedDate

05/02/2008