DIANE MARIE SLOTEMAKER OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047935396

License Status

CANCELLED

Business

First Name

DIANE

Middle

MARIE

Last Name

SLOTEMAKER

Suffix

Business Name

DIANE MARIE SLOTEMAKER OD

Original Issue Date

06/08/2009

Effective Date

06/08/2009

Expiration Date

03/31/2010

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010