KEVIN JAY CHILDERS OD - Optometrist License in Illinois | # 047027658

KEVIN JAY CHILDERS OD

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047027658

License Status

CANCELLED

Business

N

Title

OD

First Name

KEVIN

Middle

JAY

Last Name

CHILDERS

Business Name

KEVIN JAY CHILDERS OD

Original Issue Date

05/08/1996

Effective Date

01/10/2008

Expiration Date

03/31/2010

State

IL

Ever Disciplined

N

LastModifiedDate

05/04/2010