DAVID KEITH LANDESS OD - Optometrist License in Illinois | # 047929440

DAVID KEITH LANDESS OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047929440

License Status

NOT RENEWED

Business

N

First Name

DAVID

Middle

KEITH

Last Name

LANDESS

Suffix

OD

Business Name

DAVID KEITH LANDESS OD

Original Issue Date

04/21/2003

Effective Date

06/04/2004

Expiration Date

03/31/2004

State

IL

Ever Disciplined

N

LastModifiedDate

09/11/2005