TIMOTHY D BUSEY OD - Optometrist License in Illinois | # 047927148

TIMOTHY D BUSEY OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047927148

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

05/18/2000

Effective Date

03/18/2004

Expiration Date

03/31/2006

State

IL

Ever Disciplined

N

LastModifiedDate

05/11/2006