DIANNE M ANDERSON OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047934939

License Status

CANCELLED

Business

First Name

DIANNE M

Last Name

ANDERSON

Suffix

Business Name

DIANNE M ANDERSON OD

Original Issue Date

12/17/2008

Effective Date

12/17/2008

Expiration Date

03/31/2010

City

DOWNERS GROVE

State

Zip

60515

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/04/2010