DAVID JOHN ANDERSON OD - Optometrist License in Illinois | # 047016938

DAVID JOHN ANDERSON OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047016938

License Status

NOT RENEWED

Business

N

First Name

DAVID

Middle

JOHN

Last Name

ANDERSON

Suffix

OD

Business Name

DAVID JOHN ANDERSON OD

Original Issue Date

05/26/1994

Effective Date

03/28/2006

Expiration Date

03/31/2008

State

IL

Ever Disciplined

N

LastModifiedDate

05/02/2008