STACY ELLEN CORIN OLSWANG OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047935792

License Status

CANCELLED

Business

Title

First Name

STACY

Middle

ELLEN CORIN

Last Name

OLSWANG

Business Name

STACY ELLEN CORIN OLSWANG OD

Original Issue Date

10/19/2009

Effective Date

10/19/2009

Expiration Date

03/31/2010

City

SKOKIE

State

Zip

60077

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010