LISANNE CLOSE OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047933834

License Status

CANCELLED

Business

First Name

LISANNE

Last Name

Suffix

Business Name

LISANNE CLOSE OD

Original Issue Date

03/10/2008

Effective Date

03/10/2008

Expiration Date

03/31/2010

City

CHICAGO

State

Zip

60604

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010