JOHANNA KJESTINE LINGK OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047934400

License Status

CANCELLED

Business

First Name

JOHANNA

Middle

KJESTINE

Last Name

LINGK

Suffix

Business Name

JOHANNA KJESTINE LINGK OD

Original Issue Date

07/15/2008

Effective Date

07/15/2008

Expiration Date

03/31/2010

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010