CRAIG FORREST ROUSE OD - Optometrist License in Illinois | # 047927651

CRAIG FORREST ROUSE OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047927651

License Status

NOT RENEWED

Business

N

First Name

CRAIG

Middle

FORREST

Last Name

ROUSE

Suffix

OD

Business Name

CRAIG FORREST ROUSE OD

Original Issue Date

12/14/2000

Effective Date

06/04/2004

Expiration Date

03/31/2004

State

IL

Ever Disciplined

N

LastModifiedDate

09/11/2005