BRIAN KEITH BOUTON OD - Optometrist License in Illinois | # 047926001

BRIAN KEITH BOUTON OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047926001

License Status

NOT RENEWED

Business

N

First Name

BRIAN

Middle

KEITH

Last Name

BOUTON

Suffix

OD

Business Name

BRIAN KEITH BOUTON OD

Original Issue Date

11/30/1998

Effective Date

04/15/2002

Expiration Date

03/31/2002

State

IL

Ever Disciplined

N

LastModifiedDate

09/11/2005