AMY JOANNE KNICKERBOCKER OD - Optometrist License in Illinois | # 047934589

AMY JOANNE KNICKERBOCKER OD

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047934589

License Status

CANCELLED

Business

N

First Name

AMY

Middle

JOANNE

Last Name

KNICKERBOCKER

Suffix

OD

Business Name

AMY JOANNE KNICKERBOCKER OD

Original Issue Date

08/24/2008

Effective Date

08/24/2008

Expiration Date

03/31/2010

State

IL

Ever Disciplined

N

LastModifiedDate

05/04/2010