RUSSELL HOWARD FARSON - Optometrist License in Illinois | # 046006532

RUSSELL HOWARD FARSON

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046006532

License Status

NOT RENEWED

Business

N

First Name

RUSSELL HOWARD

Last Name

FARSON

Business Name

RUSSELL HOWARD FARSON

Original Issue Date

08/21/1973

Effective Date

06/04/2004

Expiration Date

03/31/2004

State

IL

Ever Disciplined

N

LastModifiedDate

09/11/2005