STEPHANIE RAE GOGGIN OD - Optometrist License in Illinois | # 047933657

STEPHANIE RAE GOGGIN OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047933657

License Status

NOT RENEWED

Business

N

First Name

STEPHANIE

Middle

RAE

Last Name

GOGGIN

Suffix

OD

Business Name

STEPHANIE RAE GOGGIN OD

Original Issue Date

12/27/2007

Effective Date

12/27/2007

Expiration Date

03/31/2008

State

IL

Ever Disciplined

N

LastModifiedDate

05/02/2008