MICHAEL ERIC BANWART OD - Optometrist License in Illinois | # 047928165

MICHAEL ERIC BANWART OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047928165

License Status

NOT RENEWED

Business

N

First Name

MICHAEL

Middle

ERIC

Last Name

BANWART

Suffix

OD

Business Name

MICHAEL ERIC BANWART OD

Original Issue Date

09/18/2001

Effective Date

04/15/2002

Expiration Date

03/31/2002

State

IL

Ever Disciplined

N

LastModifiedDate

09/11/2005