BODIE K GODWIN OD - Optometrist License in Illinois | # 047928568

BODIE K GODWIN OD

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047928568

License Status

CANCELLED

Business

N

First Name

BODIE

Middle

K

Last Name

GODWIN

Suffix

OD

Business Name

BODIE K GODWIN OD

Original Issue Date

04/19/2002

Effective Date

02/13/2004

Expiration Date

03/31/2004

State

IL

Ever Disciplined

N

LastModifiedDate

09/01/2005