JOSEPH MICHAEL FAGELMAN OD - Optometrist License in Illinois | # 047926024

JOSEPH MICHAEL FAGELMAN OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047926024

License Status

NOT RENEWED

Business

N

First Name

JOSEPH

Middle

MICHAEL

Last Name

FAGELMAN

Suffix

OD

Business Name

JOSEPH MICHAEL FAGELMAN OD

Original Issue Date

12/09/1998

Effective Date

05/18/2000

Expiration Date

03/31/2000

State

IL

Ever Disciplined

N

LastModifiedDate

09/11/2005