TIMOTHY D BUSEY OD - Optometrist License in Illinois | # 047048141

TIMOTHY D BUSEY OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047048141

License Status

NOT RENEWED

Business

N

Title

OD

First Name

TIMOTHY

Middle

D

Last Name

BUSEY

Business Name

TIMOTHY D BUSEY OD

Original Issue Date

09/26/1996

Effective Date

06/12/1999

Expiration Date

03/31/1998

State

IL

Ever Disciplined

N

LastModifiedDate

09/01/2005