EDWIN D MOTEN JR - Optometrist License in Illinois | # 047003909

EDWIN D MOTEN JR

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047003909

License Status

NOT RENEWED

Business

N

First Name

EDWIN D

Last Name

MOTEN JR

Business Name

EDWIN D MOTEN JR

Original Issue Date

04/19/1976

Expiration Date

01/01/1997

State

IL

Ever Disciplined

N

LastModifiedDate

09/01/2005