DAVID D DEWAARD OD - Optometrist License in Illinois | # 047087174

DAVID D DEWAARD OD

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047087174

License Status

CANCELLED

Business

N

Title

OD

First Name

DAVID

Middle

D

Last Name

DEWAARD

Business Name

DAVID D DEWAARD OD

Original Issue Date

11/02/1996

Effective Date

01/10/2008

Expiration Date

03/31/2010

State

IL

Ever Disciplined

N

LastModifiedDate

05/04/2010