CHRISTIAN G BURCH OD - Optometrist License in Illinois | # 047028403

CHRISTIAN G BURCH OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047028403

License Status

NOT RENEWED

Business

N

First Name

CHRISTIAN

Middle

G

Last Name

BURCH

Suffix

OD

Business Name

CHRISTIAN G BURCH OD

Original Issue Date

06/17/1992

Expiration Date

03/31/1994

State

IL

Ever Disciplined

N

LastModifiedDate

09/01/2005