CHRISTINA J LEVI OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047935519

License Status

CANCELLED

Business

First Name

CHRISTINA

Middle

Last Name

LEVI

Suffix

Business Name

CHRISTINA J LEVI OD

Original Issue Date

07/21/2009

Effective Date

07/21/2009

Expiration Date

03/31/2010

City

ALTON

State

Zip

62002

County

MADISON

Ever Disciplined

LastModifiedDate

05/04/2010