Ivetta Sue Daccache Od
ExpiredIllinois license 047931224
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 047931224
- Status
- Expired (Not Renewed)
- First issued
- June 3, 2005
- Expired
- March 31, 2008
- License holder
- Ivetta Sue Daccache Od
- Entity type
- Individual
Classifications
- Licensed Optometrist Ancillary Office (Optometry) Vision & Hearing
More from the license record
- Current term began
- 10/31/2006
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Contact
Peoria, IL 61606
Peoria County