SCOTT D POUYAT OD - Optometrist License in Illinois | # 047927259

SCOTT D POUYAT OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047927259

License Status

NOT RENEWED

Business

N

First Name

SCOTT

Middle

D

Last Name

POUYAT

Suffix

OD

Business Name

SCOTT D POUYAT OD

Original Issue Date

06/27/2000

Effective Date

06/17/2004

Expiration Date

03/31/2006

State

IL

Ever Disciplined

N

LastModifiedDate

05/11/2006