KELLY A RAETHER OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047933407

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

Last Name

RAETHER

Suffix

Business Name

KELLY A RAETHER OD

Original Issue Date

09/24/2007

Effective Date

09/24/2007

Expiration Date

03/31/2008

City

CREST HILL

State

Zip

60403

County

WILL

Ever Disciplined

LastModifiedDate

05/02/2008