DAVID D DEWAARD OD - Optometrist License in Illinois | # 047007174

DAVID D DEWAARD OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047007174

License Status

NOT RENEWED

Business

N

Title

OD

First Name

DAVID

Middle

D

Last Name

DEWAARD

Business Name

DAVID D DEWAARD OD

Original Issue Date

01/31/1980

Expiration Date

01/01/1997

State

IL

Ever Disciplined

N

LastModifiedDate

09/01/2005