KEVIN M BECKER OD - Optometrist License in Illinois | # 047927929

KEVIN M BECKER OD

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047927929

License Status

CANCELLED

Business

N

Title

OD

First Name

KEVIN

Middle

M

Last Name

BECKER

Business Name

KEVIN M BECKER OD

Original Issue Date

05/31/2001

Effective Date

01/10/2008

Expiration Date

03/31/2010

State

IL

Ever Disciplined

N

LastModifiedDate

05/04/2010