WINONA MARIE RICHNO VAN HOUTEN OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047935119

License Status

CANCELLED

Business

First Name

WINONA

Middle

MARIE RICHNO

Last Name

VAN HOUTEN

Suffix

Business Name

WINONA MARIE RICHNO VAN HOUTEN OD

Original Issue Date

03/02/2009

Effective Date

03/02/2009

Expiration Date

03/31/2010

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/04/2010