TIM A BENGTSON - Optometrist License in Illinois | # 047037904

TIM A BENGTSON

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047037904

License Status

CANCELLED

Business

N

First Name

TIM A

Last Name

BENGTSON

Business Name

TIM A BENGTSON

Original Issue Date

10/27/1994

Effective Date

01/10/2008

Expiration Date

03/31/2010

State

IL

Ever Disciplined

N

LastModifiedDate

05/04/2010