RANDALL R RICKETTS Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047935423

License Status

CANCELLED

Business

First Name

RANDALL R

Last Name

RICKETTS

Business Name

RANDALL R RICKETTS

Original Issue Date

06/19/2009

Effective Date

06/19/2009

Expiration Date

03/31/2010

City

CHICAGO

State

Zip

60619

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010