LISANNE CLOSE OD

Business Entity
ACTIVE

Optometrist

OPTOMETRIST CONTROLLED SUBSTANCE

34*****87

ACTIVE

N

LISANNE

CLOSE

OD

LISANNE CLOSE OD

10/08/2002

03/21/2026

03/31/2028

HIGHLAND PARK

IL

60035

COOK

PRACTITIONER

III IV V

N

03/21/2026