GEOFFREY W GOODFELLOW - Optometrist License in Illinois | # 047928159

GEOFFREY W GOODFELLOW

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047928159

License Status

NOT RENEWED

Business

N

First Name

GEOFFREY

Middle

W

Last Name

GOODFELLOW

Business Name

GEOFFREY W GOODFELLOW

Original Issue Date

09/18/2001

Effective Date

06/04/2004

Expiration Date

03/31/2004

State

IL

Ever Disciplined

N

LastModifiedDate

09/11/2005