TIMOTHY DAVID BOOTS OD - Optometrist License in Illinois | # 047925838

TIMOTHY DAVID BOOTS OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047925838

License Status

NOT RENEWED

Business

N

First Name

TIMOTHY

Middle

DAVID

Last Name

BOOTS

Suffix

OD

Business Name

TIMOTHY DAVID BOOTS OD

Original Issue Date

09/09/1998

Effective Date

06/04/2004

Expiration Date

03/31/2004

State

IL

Ever Disciplined

N

LastModifiedDate

09/11/2005